论文部分内容阅读
目的探讨对糖尿病足病患者的感染病情进行诊断治疗以及临床疗效。方法采用回顾性分析的方法,取在2010年6月至2013年6月来本院进行糖尿病足病感染治疗的45例病患,对他们的病情进行诊断以及治疗,包括控制血糖、运动、改善血液循环、药物、心理、饮食以及缺血性病变的处理,研究截肢率、足部病变情况、周围神经病变情况、局部的伤口特征、愈合的相关因素、总有效率、血糖控制情况等指标。结果经过对糖尿病足病病患感染病情的控制以及治疗,只有2例糖尿病足病病人截肢了,截止率为2.22%,周围神经病变情况中中度以上的有12例,发生率为26.67%,局部的伤口特征以及愈合的相关因素与治疗前相比,显著转好,并且P值小于0.05,存在显著统计学差异,显效及以上情况为32例,愈显率为71.1%,血糖控制比较有效,与治疗前对比P值小于0.05,存在统计学显著性差异。结论对糖尿病足病感染病情及时的诊断以及治疗,能够有效的降低病患的截肢率,提高总有效率等,效果显著。
Objective To investigate the diagnosis and treatment of diabetic foot disease in patients with infection and clinical efficacy. Methods A retrospective analysis was conducted in 45 patients with diabetic foot infection in our hospital from June 2010 to June 2013 to diagnose and treat their condition including controlling blood sugar, exercise, improving Blood circulation, medication, psychology, diet and ischemic disease were studied. Amputation rate, foot lesions, peripheral neuropathy, local wound characteristics, healing factors, total effective rate and blood glucose control were studied. Results After controlling and treating the condition of diabetic foot disease, only 2 cases of diabetic foot disease were amputated, with a cut-off rate of 2.22% and 12 cases of moderate or more peripheral neuropathy, the incidence rate was 26.67% Local wound characteristics and related factors of healing were significantly better than before treatment, and the P value was less than 0.05, there was a statistically significant difference between the effective and above 32 cases, the effective rate was 71.1%, blood glucose control more effective , P value less than 0.05 before treatment, there is a statistically significant difference. Conclusions The timely diagnosis and treatment of diabetic foot disease infection can effectively reduce the amputation rate of patients and improve the total effective rate, with a significant effect.