120例糖尿病足溃疡临床特点及危险因素的回顾性研究  

Restrospective analysis of clinical features and risk factors of 120 patients with diabetic foot vlcer

作　　者：陶世冰[1] 唐晓初[1] 高俊梅[1] 邹兰灵 李丽英[1] 唐霞琳 

机构地区：[1]资阳市第一人民医院内分泌代谢科,四川资阳641300

出　　处：《泸州医学院学报》2015年第3期246-248,共3页Journal of Luzhou Medical College

基　　金：四川省卫生厅科研立项项目(编号:120010)

摘　　要：目的:回顾性分析糖尿病足溃疡(DFU)的临床特点及其危险因素。方法:分析我科收治的120例糖尿病足溃疡患者临床特点,并采用多因素logistic回归分析足溃疡的危险因素。结果:本研究共纳入120例DFU患者,平均年龄69.10±15.83岁,其中72人痊愈(60.0%),39人好转(32.5%),9人未愈(7.5%)。经多因素logistic回归分析显示DFU的危险因素有糖尿病外周动脉病变(DPA)、糖尿病周围神经病变(DPN)、高血压(HP)、糖尿病肾病(DN)、男性、年龄、农民、糖尿病(DM)病程。结论:加强对糖尿病患者个体化和综合管理,及时干预各种危险因素,对预防足溃疡的发生意义大。Objective： To analyze the clinical features and risk factors of diabetic foot ulcer（DFU）.Methods： The clinical characteristics of 120 cases of DFU were retrespectively analyzed,and the risk factors were studied by multiple factor logistic regression analysis. Results： 120 patients with an average age of 69 years were included 72 of them cured（60.0%）, 39（32.5%） improved, 9（7.5%） not healed. Regression analysis showed that the risk factors included DPA, DPN,HP, DN, male, farmer, age, and duration of diabetes. Conclusion：Strengthening individualized and comprehensive management of diabetic patients and timely intervention of risk factors are critical in preventing of foot ulcers and early treatment can improve the prognosis and avoid amputation.

关 键 词：糖尿病 糖尿病足 溃疡 

分 类 号：R587.1[医药卫生—内分泌]