糖尿病与糖尿病足坏疽的甲襞微循环

Study of Nailfold Microcirculation on Diabetes and Diabetic Gangrene/

对１０２例单纯糖尿病和１２０例糖尿病足坏疽患者进行甲襞微循环观察。结果表明：糖尿病足坏疽组和单纯糖尿病组均有不同程度的微循环障碍，且足坏疽组比单纯组明显加重，而且重度足坏疽比轻、中度足坏疽严重。因而认为糖尿病患者的微血管病变和微循环障碍是导致足坏疽且坏疽伤口不易愈合的重要原因。应用甲襞微循环监测来指导应用活血化瘀、改善微循环的药物治疗糖尿病足坏疽。

ngiopathy diease is one of major complications of diabetes. The study of nailfold microcirculation in 102 simple diabetes and 120 diabetic gangrenes show that both group have microcirculatory disturbance. The latter is worse than the former. The disorders of nailfold microcirculation in patients with severe gangrene to more obvious than that of patients with mild and moderate gangrene. It indicated: Since microangiopathy plays important role in the development of foot gangrene. It is one of value clinically to moniter the changes of nailfold microcirculation in the course of treating patients with Anisodamine, etc.