老年糖尿病足合并骨髓炎诊治体会  

Diagnosis and treatment experience of diabetic foot combined with osteomyelitis in elderly patients

作　　者：蔡雪[1] 黄汉伟[1] 邓彩金 郭丽[1] 陈秀英[1] 

机构地区：[1]广东省中山市陈星海医院,中山528415

出　　处：《临床医学》2014年第8期25-27,共3页Clinical Medicine

摘　　要：目的分析老年糖尿病足合并骨髓炎的临床特点和治疗情况。方法选择2010年1月至2012年12月中山市陈星海医院收治的10例老年糖尿病足合并骨髓炎患者,分为截肢组和非截肢组,回顾性分析其临床特征与截肢与否的关系。结果 10例患者中截肢4例,截肢率为40%。与未截肢组患者相比,截肢组的外周血管狭窄程度、切口感染情况更严重。结论老年糖尿病足合并骨髓炎住院患者有很高的截肢率,积极控制血糖,彻底清创、抗感染、多科协作治疗是避免糖尿病足患者截肢的关键。Objective To analyze the clinical characteristics and treatment of diabetic foot（ DF） combined with osteomyelitis in elderly patients. Methods A total of 10 consecutive patients aged≥60 years with DF were included from January 2010 to December 2012. According to whether underwent amputation in hospital,the patients were divided into amputation group（ n = 4）and non amputation group（ n = 6）. Results Four patients（ 40%） underwent amputation. Higher prevalence of peripheral vascular disease and more serious infection were found in amputation group compared with the non-amputation group. Conclusion The elderly patients with DF combined with osteomyelitis have high rate of amputation in hospital. Actively controlling blood glucose,earlier and interdisciplinary treatment are critical for avoiding amputation.

关 键 词：糖尿病足 老年人 截肢 

分 类 号：R587.2[医药卫生—内分泌]