糖尿病足溃疡危险因素分析

摘要

观察23例糖尿病足溃疡患者的年龄、糖尿病病程、空腹血糖、血清总蛋白、血清白蛋白、血清肌酐、血清尿素氮及溃疡发生的位置，并与20例无溃疡糖尿病患者进行对比分析。结果显示：两组患者糖尿病病程、空腹血糖、血清总蛋白、血清白蛋白有显著性差异，年龄、血清肌酐、尿素氮无显著性差异；糖尿病足溃疡患者右足溃疡发生率（86％）显著高于左足（39％），双趾溃疡发生率（65％）高于其他部位（35％），但无显著性差异。结果提示：糖尿病病程、高血糖、低蛋白血症及足部受力过多和压迫是糖尿病足溃疡发生的危险因素。%23 diabetic foot ulcer patients were observed and compared with20 non foot ulcer diabetes.The results showed that the duration of diabetes and fasting plasma glucose of the patients with foot ulcer were significantly higher than that of the nonfoot ulcer patients（P＜0.05）.The serum total protein and serum albumin of the patients with foot ulcer were significantly lower than that of the non foot ulcer patients（P＜0.01）.There were no differences in serum creatin，blood urea nitrogen and age of the two groups.The right foot ulcer occuring rate was significantly higher than that of the left（P＜0.005），and the great toes ulcers occuring rate（65％）were higher ehan that of the other area，but no differences.The results indicate that the duration of diabetes，hyperglycemia，hypoproteinemia and the high foot pressure are the risk factor，for diabetic foot ulcer