糖尿病患者530例足部状况的临床评估

目的对糖尿病患者足部状况及足溃疡发生相关因素进行临床评估.方法对530例糖尿病患者以自行设计的调查评价表对患者的一般临床资料、各项检查、化验指标、足部状况等与足溃疡相关内容进行评估.结果糖尿病患者的足部皮肤状况不良,糖尿病患者合并足溃疡发生率为14.34%,40%以上的糖尿病患者下肢大血管供血状况不良,有25%的糖尿病患者足部感觉异常,近50%的糖尿病患者处于足溃疡中度危险状态之中.结论糖尿病足发生的危险性与其神经病变、血管病变等并发症、足部不良状况、病程长、代谢紊乱等多种因素有密切的关系.

Evaluation of foot conditions in 530 patients with diabetes mellitus

Objective To study diabetic foot ulceration and its risk factors in diabetic patients. Methods Case analysis study was carried out to assess the general clinical data, and foot conditions related to diabetic foot ulceration in 530 patients with diabetes mellitus. Results The average rate of diabetic foot ulceration was 14.34%. Foot conditions were poor in diabetic patients. More than 40% of the patients had ischemia of lower extremities. Twenty five percent had abnormal sensation of foot. Nearly 50% of the patients were at moderate risk of diabetic foot ulceration. Conclusion The long duration, diabetic neuropathy, microvascular disorders and abnormal foot conditions were related to diabetic foot ulceration.