介入治疗糖尿病足临床疗效观察

目的探讨动脉灌注抗凝溶栓和球囊扩张术治疗糖尿病足的有效性。方法糖尿病足患者72例，一组40例予以介入治疗加对症治疗，另一组32例仅予以对症治疗，检测两组治疗前后的血糖、踝肱指数、感觉改变、足的分级等。结果介入治疗组有效率97．5％，对照组75．0％，差异有统计学意义（P〈0．05）。结论介入治疗糖尿病足创伤性小，对糖尿病足治疗的有效性高，溃疡的愈合时间缩短，是微创治疗的新发展。

Objective To approach the effectiveness of interventinal arterial perfusion anticoagulation thrombolysis and saceulus proprius dilatation therapy on diabetic foot. Methods Total 72 patients with diabetic foot were divided into 2 groups. One of them received interventional and symptomatic treatment, the other group only had symptomatic treatment. The blood glucose, ankle- brachium index, feeling change, grading of foot of the 2 groups were documented and compared before and after the treatment. Results The effectiveness rate in the intervention group was above 90% ; while in the other group receiving symptomatic treatment, it was only 75%, P 〈 0. 05. Conclusions Interventional therapy has tiny traumatic occlusion and high efficacy on diabetic foot, it shortens vomicose healing time significantly too, therefore is a new minimally invasive therapy.