住院糖尿病患者高危足与血糖控制现状及其相关性分析

摘要

Objective To Investigate the status of glycemic control in diabetic patients on admission,and carry on the screening of high risk foot,and then discuss the correlation between the two. Methods 1188 cases of hospitalized diabetic patients were extracted from a third class A hospital of Chengdu by convenient sampling and patients were received screening for high risk foot on admission day. Then SPSS1 7. 0 was used to analysis the correlation between high risk foot and glycemic control. Results In the 1188 patients,417(35. 1%)cases had the risk of diabetic foot,264(22. 2%)cases were in successful blood sugar control (HbA1c<7%). Age and course of the disease were risk factors for diabetic foot,the influence factors of blood sugar control were gender and course of the disease;There was no correlation between high risk foot and glycemic control(r=0. 033,P=0. 263). Conclusion The glycemic control in diabetic patients was poor and they were in a higher risk of diabetic foot. Therefore,to pa-tients with high risk foot,medical personnel should take intervention as soon as possible to prevent the occurrence of diabetes foot.%目的：调查入院时糖尿病患者血糖控制现状,并对其进行高危足的筛查,进而探讨两者之间相关性。方法通过便利抽样的方法抽取成都市某三级甲等医院住院的1188例糖尿病患者,患者入院当天对其进行高危足的筛查,并用SPSS17．0分析探讨患者高危足与血糖控制的关联性。结果1188名患者中417(35．1%)例有发生糖尿病足的危险,血糖控制达标(HbA1c<7%)者264(22．2%)例。年龄和病程是影响糖尿病足发生的危险因素,性别和病程是血糖控制达标的影响因素,两者之间无关联性(r=0．033,P=0．263)。结论住院糖尿病患者血糖控制较差,发生糖尿病足的风险较高,对高危足患者医护人员应尽早采取干预措施,以预防糖尿病足的发生发展。