晚期糖尿病足坏疽急诊截肢综合治疗体会

目的探讨晚期糖尿病足坏疽急诊截肢后的治疗方法。方法将治疗组61例和对照组60例在抗感染和控制血糖等条件一致的情况下急诊截肢后治疗组静脉滴注654-2、口服阿司匹林和局部应用654-2、胰岛素。结果治疗组有效率100%,治愈率86.87%;对照组有效率75.00%,治愈率58.33%。两组疗效差有统计学意义(P<0.05)。结论晚期糖尿病足坏疽急诊截肢后综合治疗能显著提高有效率和治愈率。

Objective To explore the further treatment after the terminal diabetics suffering from gangrene in their foots were received acute amputation.Methods 121 terminal diabetics suffering from gangrene in their foots were divided into the treatment group（61 cases）and the control group（60 cases）.Two groups were received acute amputation after controlling the infection and blood glucose.The treatment group was furthermore received intravenously 654-2,orally aspirin,locally 654-2 and insulin.Results The effective rate and cure rate were 100%and 86.87%respectively in the treatment group,in contrast,the rates were 75.00%and 58.33%respectively in the control group.There was significant difference between the two groups（P〈0.05）.Conclusion After the terminal diabetics suffering from gangrene in their foots were received acute amputation,comprehensive treatment can significantly improve the effective rate and cure rate.