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目的:分析探讨影响糖尿病足愈合的危险因素,以便综合治疗,预防致残,提高患者的生活质量。方法:选择2008年12月~2012年12月我院收治的糖尿病足患者82例,分析患者的病程,年龄,糖化血红蛋白,相关并发症,神经病变,血管病变,感染等因素对患者足病愈合的影响。结果:本组患者愈合58例,进行截肢8例,截趾11例,自动放弃继续治疗的5例。多因素logistic回归分析显示年龄、病程、血糖控制情况差,糖尿病肾病低蛋白者,神经病变与ABI水平及感染为主要的危险因素。结论:严重高血糖、老龄、低蛋白血症,严重感染,下肢血管神经病变严重是影响糖尿病足愈合的重要因素。
OBJECTIVE: To analyze and discuss the risk factors that affect the healing of diabetic foot in order to comprehensively treat, prevent disability and improve the quality of life of patients. Methods: 82 patients with diabetic foot admitted to our hospital from December 2008 to December 2012 were enrolled in this study. Patient’s disease course, age, HbA1c, complications, neuropathy, vascular disease and infection were analyzed. Impact. Results: In this group, 58 cases were healed, 8 cases were amputated, 11 cases were truncated, and 5 cases were given up for further treatment. Multivariate logistic regression analysis showed that age, course of disease, poor glycemic control, low proteinuria in diabetic nephropathy, neuropathy and ABI levels and infection were the main risk factors. Conclusion: Severe hyperglycemia, aging, hypoalbuminemia, severe infection and severe neuropathy of lower extremity are important factors that affect the healing of diabetic foot.