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目的了解本院糖尿病足住院患者的诊疗现状,为本地区糖尿病足的防控提供依据。方法选取我院2010年8月-2013年8月出院病案首页诊断为糖尿病足病例,对入选病例进行统计处理及回顾性分析。结果 3年来共有糖尿病足住院患者37例,以60岁-79岁的患者最多,约占72.97%;其并发症或合并症以心脑血管及微血管疾病为主,约占86.48%;住院患者以内分泌科为最多,约占43.24%,其他散见于内外各科室;入院时各项检查不够完善,仅空腹血糖的监测较全。患者予以截肢或截趾的约占13.51%,放弃治疗的约占21.62%。结论应加强糖尿病足的规范化诊疗及多科室相互协作,强化糖尿病足的健康教育,使患者及家属了解糖尿病足的危害,加强患者的足部护理及糖尿病足的早期预防。
Objective To understand the status of diagnosis and treatment of hospitalized patients with diabetic foot in our hospital and provide basis for the prevention and control of diabetic foot in this area. Methods The first page of discharged cases in our hospital from August 2010 to August 2013 was diagnosed as diabetic foot cases, and the selected cases were statistically analyzed and retrospectively analyzed. Results In the past three years, there were 37 inpatients with diabetic foot disease, accounting for 72.97% of patients aged 60-79 years. The main complications were cardiovascular and microvascular diseases, accounting for 86.48% Endocrine Department for the most, accounting for about 43.24%, other scattered in the various departments at home and abroad; admission examination is not perfect, only fasting blood glucose monitoring more. The patients were amputated or truncated to about 13.51%, giving up treatment accounted for about 21.62%. Conclusions The standardized diagnosis and treatment of diabetic foot and multidisciplinary cooperation should be strengthened to enhance the health education of diabetic foot so that patients and their families can understand the harm of diabetic foot and strengthen the foot care and early prevention of diabetic foot in patients.