论文部分内容阅读
糖尿病患者因神经病变而失去感觉或因缺血而失去活动能力,合并感染所致的足患称为糖尿病足(Diabetic Foot,DF)。我院自1990年以来应用综合疗法治疗糖尿病足患者21例(22足),收到了较好的疗效,现报告如下: 1 一般资料 共21例,其中男17例,女4例,年龄34~82岁,平均61.6岁;Ⅰ型糖尿病1例,Ⅱ型糖尿病20例,血糖均控制不良,18.7±15.2mmol/L,糖尿病程0.5~28年,平均7.4年,DF病程0.5~30月,平均6.4月,左足11例,右足9例,双足1例;神经性足病变4例,缺血性病变5例,两者并发12例;按DF轻重程度不同,Wagner将之分为5度,本组0度1例,Ⅰ度1例,Ⅱ度3例,Ⅲ度5例,Ⅳ度9例,Ⅴ度2
Diabetic patients lose their sensation due to neuropathy or lose their ability to move due to ischemia. The complications caused by the combined infection are called Diabetic Foot (DF). Our hospital since 1990, the application of comprehensive therapy in patients with diabetic foot in 21 cases (22 feet), received a good effect, are as follows: 1 General Information of a total of 21 cases, including 17 males and 4 females, aged 34 ~ 82 years old, average 61.6 years old; type 1 diabetes in 1 case, 20 cases of type 2 diabetes, blood glucose were poorly controlled, 18.7 ± 15.2mmol / L, diabetics 0.5 to 28 years, an average of 7.4 years, DF course 0.5 to 30 months, mean 6.4 months, left foot in 11 cases, right foot in 9 cases, bipedal in 1 case; neuropathic pallidus in 4 cases, ischemic lesions in 5 cases, both of them complicated by 12 cases; according to the severity of DF, Wagner will be divided into 5 degrees, This group 0 degrees in 1 case, Ⅰ degree in 1 case, Ⅱ degree in 3 cases, Ⅲ degree in 5 cases, Ⅳ degree in 9 cases, Ⅴ degree 2