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目的探讨第二炮兵总医院糖尿病足患者的临床特点,为提高诊疗水平提供科学依据。方法利用病案检索系统查询2006年1月至2011年12月解放军第二炮兵总医院糖尿病足患者,统计其临床资料并进行回顾性分析。结果期间解放军第二炮兵总医院共收治糖尿病足患者116例,32(27.6%)例截肢。与未截肢患者相比较,截肢患者年龄较大,文化水平较低,糖尿病病程更长,血糖控制差。Logistic回归分析提示Wagner分级≥3及糖化血红蛋白大于等于8.2%与截肢相关。结论糖尿病足住院患者数量呈上升趋势,血糖、年龄、文化程度等多种因素均与糖尿病足截肢相关,宜从多个层面采取应对措施,加强糖尿病足的防治,减轻患者疾病负担,改善生活质量。
Objective To explore the clinical features of patients with diabetic foot in the Second Artillery General Hospital and provide scientific basis for improving the diagnosis and treatment. Methods With the medical record retrieval system, the patients with diabetic foot in the PLA Second Artillery General Hospital from January 2006 to December 2011 were investigated. The clinical data were analyzed and analyzed retrospectively. During the PLA’s Second Artillery General Hospital, 116 cases of diabetic foot were treated and 32 (27.6%) were amputated. Compared with non-amputees, amputation patients older, lower educational level, longer duration of diabetes, poor blood glucose control. Logistic regression analysis showed that Wagner grade ≥3 and HbA1c≥8.2% were related to amputation. Conclusion The number of inpatients with diabetic foot is on the rise. Many factors, such as blood sugar, age, educational level and so on, are related to diabetic foot amputation. Countermeasures should be taken from multiple aspects to strengthen the prevention and treatment of diabetic foot, reduce the disease burden and improve the quality of life .