糖尿病足胼胝减压干预治疗的效果

目的探讨足底胼胝去除减压治疗促进糖尿病足愈合及预防感染复发的效果。方法共452例糖尿病足患者，胼胝下溃疡合并局部溃疡感染者260例参与减压治疗者161例，未参加减压治疗者99例；胼胝下溃疡痊愈后192例继续进行减压治疗者98例，未参加减压治疗者94例。结果胼胝下感染及合并足间隙感染者减压治疗组较之非减压治疗组其愈合时间明显缩短，组间比较具有统计学意义（t=-22．053，-64．568；P〈0．05）。胼胝下溃疡痊愈者192例参与减压治疗者98例观察期间未发生局部胼胝下溃疡，未参加减压治疗者94例均在短期内复发，复发时间为6～42d。结论去除糖尿病足胼胝可有效减轻足底压力促进足部感染愈合，并可预防感染复发。

Corpus callosum of diabetic foot decompression intervention

Objective To explore the treatment effects of removal of plantar calluses on healing of diabetic foot and preventing its relapse. Methods A total of 452 patients with diabetic foot, 260 cases were under the corpus callosum ulcer with local ulcer infection, in which 161 cases were treated with decompression therapy, and 99 cases did not participate in decompression treatment; 98 of 192 cases were ulcers healed under the corpus callosum continues decompression in treatment, and 94 cases did not participate in decompression treatment. Results Healing time under the corpus callosum and foot clearance combined with infection in decompression treatment group was less than in the non-decompression group (t = - 22. 053, - 64. 568; P ＜0. 05). 192 ulcer healed cases and 98 decompression cases did not occur ulcer during the observation period.Those 94 cases who did not participate in decompression treatment recurrence local ulcer in short time (6 -42 d). Conclusions Removal of the corpus callosum of diabetic foot can be effective in reducing plantar pressure to promote healing of foot infection and may prevent infection relapse.