188例糖尿病患者足溃疡的预防

Analysis of the findings on preventing diabetic foot ulceration for 188 cases

目的 :探讨有效预防糖尿病足溃疡的时机与方法。方法 :将 188例发生足溃疡的低、中、高危患者分为A、B、C 3组 ,分别给予足溃疡发生前期、发生期和后期护理干预并随访 12～ 15个月 ,观察干预前后足溃疡发生率和血糖值。结果 :血糖与足溃疡发生、发展密切相关。 3组干预后血糖均明显下降 ,以A组最为显著 ,无 1例发生足溃疡。高危者足溃疡发生率明显高于中、低危者 ,但干预后显著下降。结论 :预防教育应从低危者着手 ,中、高危者列为重点预防对象 ,指导患者控制血糖和每日护足是有效预防足溃疡的关键。

Objective: To investigate effective methods of preventing diabetic foot ulceration.Methods:One hundred and eighty eight patients at the mild,moderate and high risk for ulceration were divided into three groups:A,B,C,respectively. Nursing care and education were given.Everycase was followed up for 12～15 months and observed for the prevalence of foot ulceration and glucose levels.Results:After intervention,the glucose levels of the three groups had markedly reduced,and the development of foot ulceration was significantly lowered.The outcomes of Group A were better than the other two groups.Conclusion:The ealier prevention and education were done,the better outcomes would come out.It is crucial that the glucose level is controlled and the feet were cared for daily. Author's address The Department of Neurology and Endocrinology of Nanjing General Hospital of the PLA,NanJing,Jiangsu Province,China.210002