糖尿病足高危因素分析  

Analysis on high-risk factors of diabetic foot

作　　者：胡鹏[1] 于晓霞[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院

出　　处：《护理研究（中旬版）》2014年第1期152-155,共4页Chinese Nursing Researsh

基　　金：华中科技大学同济医学院附属同济医院院级基金项目;编号:41501029905821-0

摘　　要：[目的]分析糖尿病足发病的高危因素,指导糖尿病病人预防足部并发症的发生。[方法]调查2009年9月-2012年10月住院和门诊糖尿病病人280例,其中非糖尿病足病人247例,糖尿病足病人33例。采用自行设计的调查问卷,收集糖尿病病人的临床资料、Gavin’s足危险因素加权值积分和糖尿病足自我护理能力情况,采用Logistic回归分析筛选糖尿病足的高危因素。[结果]两组病人病程、体重指数、收缩压、糖化血红蛋白、尿白蛋白/肌酐比值、空腹及餐后2h血糖、血脂、踝肱指数比较、Gavin’s足危险因素加权值和糖尿病足知识问卷得分比较差异均有统计学意义;Logistic回归分析显示:并发症、低密度脂蛋白胆固醇、糖尿病足知识问卷行为得分、收缩压进入回归模型(P<0.05),而性别、年龄、文化程度、收入、医疗费用、病程、体重指数、总胆固醇、三酰甘油、高密度脂蛋白胆固醇、尿白蛋白/肌酐比值、糖化血红蛋白、空腹及餐后2h血糖、踝肱指数、舒张压、脉搏和Gavin’s足危险因素加权值评分均未进入回归模型(P>0.05)。[结论]严格控制血糖、减少并发症的发生、提供自我护理足部的能力是降低糖尿病足发生的关键。Objective：To analyze the hith risk factors of diabetic foot and guild the diabetic patients to prevent occurrence of foot complications.Methods：A total of 280 cases of inpatients and outpatients with diabetes from September in 2009 to October in 2012 were investigated.There were 247 cases of non-diabetic foot patients and 33 cases of diabetic foot patients.The self-designed questionnaire was used to collect the clinical data of diabetes mellitus patients,Gavin＇s foot risk factor weighted value score and self-care ability of diabetic foot patients.Logistic regression analysis was used to screen high risk factors of diabetic foot.Results：There was statistically significant difference in course of disease,body mass index （BMI）,systolic blood pressure,glycosylated hemoglobin,urine albumin/creatinine ratio,fasting and postprandial 2 h blood glucose,blood lipid,ankle brachial index comparison,Gavin＇ s foot risk factor weighted value and diabetic foot knowledge questionnaire score.Logistic regression analysis showed that the complications,low density lipoprotein cholesterol,diabetic foot knowledge questionnaire behavior score and systolic blood pressure entered into the regression model （P＜ 0.05）,while gender,age,educational level,income,medical treatment,course of diseases,body mass index,total cholesterol,three acyl glycerin,highdensity lipoprotein cholesterol,urinary albumin/creatinine ratio,glycosylated hemoglobin,fasting and postprandial 2 h blood glucose,ankle brachial index,diastolic blood pressure,pulse and Gavin＇s foot risk factors weighed score have not been into the regression model （P＞0.05）.Conclusion：It＇s the key to control blood sugar strictly,reduce the occurrence of complications and provide the self-care ability of foot for reducing occurrence of diabetic foot.

关 键 词：糖尿病 糖尿病足 高危因素 

分 类 号：R473.57[医药卫生—护理学]