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目的分析老年糖尿病足合并骨髓炎的临床特点和治疗情况。方法选择2010年1月至2012年12月中山市陈星海医院收治的10例老年糖尿病足合并骨髓炎患者,分为截肢组和非截肢组,回顾性分析其临床特征与截肢与否的关系。结果 10例患者中截肢4例,截肢率为40%。与未截肢组患者相比,截肢组的外周血管狭窄程度、切口感染情况更严重。结论老年糖尿病足合并骨髓炎住院患者有很高的截肢率,积极控制血糖,彻底清创、抗感染、多科协作治疗是避免糖尿病足患者截肢的关键。
Objective To analyze the clinical features and treatment of elderly diabetic foot osteomyelitis. Methods From January 2010 to December 2012, 10 cases of elderly patients with diabetic foot osteomyelitis were admitted to the Chen Xinghai Hospital of Zhongshan City. The patients were divided into amputation group and non-amputation group. The clinical features of amputation and amputation were retrospectively analyzed. Results Of the 10 patients, 4 were amputated and the amputation rate was 40%. Compared with patients without amputation, amputation group of peripheral vascular stenosis, incision infection more serious. Conclusions Elderly patients with diabetic foot and osteomyelitis have high amputation rate. Positive control of blood glucose, complete debridement, anti-infective and multidisciplinary treatment are the keys to avoid amputation of patients with diabetic foot.