糖尿病足的临床治疗体会

The clinical treatment experience of diabetic foot

目的探讨糖尿病足的治疗方法，提高糖尿病足的诊治水平，降低病死率及致残率。方法30例糖尿病足患者给予糖尿病饮食，严格控制血糖，全身应用扩血管改善微循环药物及抗生素，局部清创换药手术植皮的综合治疗，并分析其临床疗效，总结治疗方法。结果30例患者经系统治疗后，痊愈28例（93．3％），好转1例（3．3％），截肢1例（3．3％）。结论糖尿病足病情复杂，结合降糖、改善微循环、抗感染、局部创面清创换药处理（皮肤缺损大者手术植皮）为一体进行综合治疗有较好的疗效。

Objective To analysis the treatment method, improve the level of diagnoses and treatment and decrease the death rate and disability rate of diabetic foot by means of investigation and research in typical clinical cases. Methods From October 1998 to April 2009, 30 clinical cases with the diabetic foot underwent the comprehensive treatment of diabetic diet, strictly blood sugar controlling, vasodilative drugs and antibiotics, local wound dressing and skin grafting. Then the clinical treatment effect was analysised and the treatment method was concluded. Results After the treatment of 30 clinical cases, 28 clinical cases with healing （93.3%）, 1 clinical case with improvement （3.3%） and 1 clinical case with amputation （3.3%）. Conclusion Though the condition of diabetic foot is complicated, it could be treated effective with the comprehensive treatment of diabetic diet, strictly blood sugar controlling, vasodilative drugs and antibiotics and local wound dressing （skin grafting for large skin defect）.