糖尿病足流行病学及糖尿病足截肢的临床分析  

Clinical analysis of diabetic foot and the epidemiology of diabetic foot amputation

作　　者：彭小兵 

机构地区：[1]道县人民医院,湖南永州425300

出　　处：《糖尿病新世界》2015年第11期152-153,共2页Diabetes New World Magazine

摘　　要：目的探讨针对糖尿病足(DF)患者,对其流行病学以及截肢的情况进行分析。方法选取该院2012年10月—2014年10月糖尿病患者、糖尿病足患者以及需要截肢的DF患者。对所有患者的临床资料进行回顾性分析。统计糖尿病足患者临床截肢率,并分析患者完成截肢后,导致患者临床死亡的原因。结果糖尿病足患者于临床表现出较高的截肢率。针对糖尿病足截肢患者,其完成手术后创面愈合的情况同患者截肢平面,以及患者局部是否表现出感染的情况存在密切的关系。导致糖尿病足患者临床死亡的主要原因为患者出现了多脏器功能衰竭的情况。针对该次截止的10例患者,1例患者临床死亡,其余患者在切面愈合程度表现出显著差异(P<0.05)结论针对糖尿病足疾病患者,多见于老年人群。针对截肢患者,在其完成手术后确保截肢平面血液供应良好,能够有效确保手术切口有效愈合。针对糖尿病足截肢患者,在手术前、手术后需要对患者进行必要的综合治疗,有效保证患者身体脏器功能全部正常,针对手术应激情况可以有效应对,有效降低术后死亡率。Objective Discussion for diabetic foot（DF） patients were analyzed epidemiological situation and amputation.Methods Our hospital in October 2012—2014 October diabetes,diabetic foot and DF patients require amputation.The clinical data of all patients were analyzed retrospectively.Statistics clinical diabetic foot amputation rate,and analyze the reasons for amputees after the completion,resulting in clinical death.Results Clinical manifestations of diabetic foot in a higher amputation rate.For patients with diabetic foot amputation,after the completion of their cases with surgical wound healing in patients with amputation,as well as whether the patient showed a partial case of infection in the presence of a close relationship.Patients with diabetic foot main cause of death for patients appeared in the case of multiple organ failure.The deadline for the 10 patients,1 patient clinical death,the remaining patients in the healing section showed significant differences in the extent（P〈0.05）.Conclusion For patients with diabetic foot disease,more common in the elderly population.For amputees,after its complete amputation surgery ensure good blood supply,which can effectively ensure the effective healing of surgical incisions.For diabetic foot amputation patients before surgery,after surgery,the patient needs to make the necessary comprehensive treatment,the patient＇s body organ function effectively guarantee all normal,you can effectively deal with stress situations for surgery,reduce postoperative mortality.

关 键 词：糖尿病足 流行病学 截肢 

分 类 号：R587[医药卫生—内分泌]