综合治疗81例糖尿病足临床分析

目的探讨糖尿病足有效综合治疗方法和效果。方法对2006年3月-2012年5月收治的81例符合WHO 1999年糖尿病诊断标准的2型糖尿病足患者,随机分为综合治疗组46例,通过选择胰岛素控制高血糖;根据细菌培养及药敏试验结果选用有效抗生素;改善微循环和抗血小板聚焦用药;营养神经和支持疗法以及提高免疫力用药;局部清创、引流、药物湿敷等处理。普通治疗组35例,采用控制血糖、抗感染及一般外科换药等措施。结果 46例观察组治愈率达82.6%,对照组治愈率仅为42.85%。结论加强糖尿病足的预防,对糖尿病足早期及时综合治疗可有效控制病情发展,降低糖尿病足的致残和致死率。

Objective To discuss the effective comprehensive treatment method and effect of diabetic foot. Methods 81 patients with diabetic foot were randomly divided into the comprehensive treatment group （46 cases） and the conventional therapy group （35 cases）. Results In comprehensive treatment group, the cure rate was 82.6%, and in the conventional therapy group, the cure rate was only 42.85%. Conclusion To diabetic foot patients, early and comprehensive treatment can effectively control the progression of the disease, and reduce the morbidity rate and mortality rate.