313例糖尿病足患者临床特点及疗效分析

目的了解住院糖尿病（DM）患者糖尿病足（DF）的患病率，并分析其临床特点和治疗效果。方法调查我院1996年1月至2006年12月共313例住院DF病患者的临床资料，并比较1996年1月-2003年12月（A组）和2004年1月-2006年12月（B组）两个时间段患者的治疗效果。结果DF患者占同期住院DM总人数的2．79％，平均DM病程9．33±6．52年，DF病程8．13±17．06月。DF患者总的治愈率为28．1％，好转率为40．6％，无效率为31．3％；DF分级越高，治疗效果越差。B组治愈率（37．04％）显著高于A组（18．54％）。结论DF的发生率不断升高，多学科合作团队有利于提高DF的治愈率。

Analysis of the clinical characteristics and therapeutic efficacy in 313 patients with diabetic foot

Objective To investigate the prevalence of diabetic foot（DF） in the hospitalized diabetic patients and analyze the clinical characteristics and therapeutic efficacy of patients with diabetic foot. Methods The 313 patients （180 males and 133 females） were divided into two groups：group A （1/1996-12/2003） and group B （1/2004-12/2006）. Results 2.79% of the hospitalized diabetic patients had diabetic foot. The mean age and duration of diabetes were 66 ±10 years old and 9.33±6.52 years respectively, the mean duration of diabetic foot was 8.13±17.06 months and the average days in hospital was 29.62 ± 28.36d. Many patients suffered from diabetic nephropathy, cataracts, retinopathy, neuropathy, vascular disease, hypertension, infection, and so on. The blood pressure and blood glucose were poorly controlled in many of the patients. Of all patients, 28.1 % were completely healed, 40.6% were improved without amputation and 31.3 % had not healed at the time of death or follow-up （including 9.3 % of them were amputated in leg and 6.2% were dead）. But group B versus group A showed higher cure rates of DF （37.04 % vs 18.54 %）. Conclusions The prevalence of DF in the hospitalized diabetic patients is gradually increased, most patients with DF accompany with one or multiple other complications. A muhifactorial treatment by a muhidisciplinary foot care team is a superior treatment strategy for improving prognosis of patients with DF.