社区糖尿病足危险人群的筛查及影响因素分析  

The screening and analysis of influencing factors for risk population of diabetic foot in community

作　　者：叶晶[1] 陈利群[1] 白姣姣[2] 杨中方[1] 

机构地区：[1]复旦大学护理学院,上海200032 [2]复旦大学附属华东医院

出　　处：《中国实用护理杂志》2013年第8期48-51,共4页Chinese Journal of Practical Nursing

基　　金：复旦大学护理科研基金（FNF201209）

摘　　要：目的调查社区糖尿病足危险人群的发病现状，分析影响因素。方法根据Gavin糖尿病足危险因素加权值积分方法，采用多普勒血流探测仪、Semmes Weistein 5．07（10g）尼龙单丝、128Hz音叉对上海市某社区210例糖尿病患者进行调查，筛查糖尿病足危险人群，并对影响因素进行分析。结果糖尿病足危险人群174例占82．9％，其中低危组112例，中高危组62例；除了Gavin糖尿病足危险因素，不同年龄段、文化程度、空腹血糖、餐后2h血糖、糖化血红蛋白值亦会影响糖尿病患者糖尿病足的危险等级，同时中高危组人群空腹血糖、餐后2h血糖、糖化血红蛋白的值显著高于正常组人群，差异有统计学意义。结论要早期筛查糖尿病足危险人群，加强健康教育与管理，有效预防糖尿病足。Objective To investigate the status of risk population of diabetic foot in community and analyze the influencing factors. Methods 210 diabetes patients living in a community in Shanghai were enrolled, according to Gavin＇s weighted integral method with risk factors of diabetic foot, Doppler blood flow detector, Semmes Weistein 5.07 （10 g） nylon monofilament and 128Hz tuning fork were used to screen for the risk population of diabetic foot. Results Risk population of diabetic foot were 174 patients （82.9%）, wherein the low risk group were 112 patients （53.4%）, in the middle and high risk group were 62 people （29.5%）. In addition to the Gavin＇s diabetic foot risk factors, different ages, cultural degrees, the values of FBG, PBG and HbAIe would also affect the risk level of diabetic foot. While the values of FBG, PBG and HbAlc of diabetes patients in the moderate and high risk group were significantly higher than those in the normal group. Conclusions We should make early screening for risk factors of diabetic foot and strengthen health education and management in order to effectively prevent diabetic foot.

关 键 词：糖尿病足 危险因素 筛查 

分 类 号：R587[医药卫生—内分泌]