糖尿病足溃疡外科修复的临床分析  

Clinical analysis of surgical repair of diabetic foot ulcer

作　　者：徐世健 XU Shijian(Liaocheng Luxi Orthopedic Hospital,Liaocheng,Shandong,252000,China)

机构地区：[1]聊城鲁西骨科医院,山东聊城252000

出　　处：《当代医学》2021年第22期110-111,共2页Contemporary Medicine

摘　　要：目的分析糖尿病足溃疡患者感染病原菌的分布情况和外科修复的临床治疗情况。方法回顾性分析2017年1月至2020年1月本院收治的32例糖尿病足溃疡患者的临床资料,对相关感染的分泌物标本进行病原菌培养,分析病原菌的分布情况和外科修复的治疗效果。结果32例糖尿病足溃疡患者共培养出64株病原菌,其中占比最高的是粪肠球菌,为17.19%(11/64);其中18例患者采用外科修复治疗(外科修复治疗组),14例患者采用药物治疗(药物治疗组),外科修复治疗组治愈率明显高于药物治疗组,差异有统计学意义(P<0.05)。结论糖尿病足溃疡患者感染的病原菌种类较多,主要以粪肠球菌为主,早期采取外科修复治疗效果优于药物治疗,值得临床推广运用。Objective To analyze the distribution of infectious pathogens in patients with diabetic foot ulcers and the clinical treatment of surgi-cal repair.Methods The clinical data of 32 patients with diabetic foot ulcers admitted to our hospital from January 2017 to January 2020 were retro-spectively analyzed.The secretion specimens of related infections were cultured for pathogenic bacteria,and the distribution of pathogenic bacteria and the therapeutic effect of surgical repair were analyzed.Results 64 pathogenic bacteria were cultured in 32 patients with diabetic foot ulcers,of which Enterococcus faecalis accounted for the largest proportion,accounting for 17.19%(11/64);18 patients were treated with surgical repair(surgi-cal repair treatment group),14 cases patients were treated with drugs(pharmaceutical treatment group),and the cure rate of surgical repair treatment group was significantly higher than that of pharmaceutical treatment group,the difference was statistically significant(P<0.05).Conclusion Pa-tients with diabetic foot ulcers are infected with many pathogenic bacteria,mainly Enterococcus faecalis.Early surgical repair is more effective than drug treatment,and it is worthy of clinical application.

关 键 词：糖尿病足 感染性溃疡 病原菌分布 外科修复 临床治疗 

分 类 号：R587.2[医药卫生—内分泌] R658.3[医药卫生—内科学]