缺血性糖尿病足病血管外科一站式诊治经验

One-stop Diagnosis and Treatment for Patients with Ischemia Diabetic Foot in Vascular Surgery

目的探讨缺血性糖尿病足病血管外科一站式诊治模式的可行性与治疗效果。方法对2008年1月—2015年12月855例因缺血性糖尿病足病成功施行血管腔内介入治疗患者的病历资料进行回顾性研究。其中2008年1月—2012年12月488例患者为多学科治疗组,接受了多学科协作专业化处置的综合治疗;2013年1月—2015年12月367例患者为一站式治疗组,接受了血管外科一站式诊治。研究两组患者的基线特征,出院时创面完全愈合率,总住院时间及住院总费用的差别。结果两组患者间的基线特征、出院时创面完全愈合率均无明显差异(P>0.05)。但与多学科治疗组比较,一站式治疗组的总住院时间及住院总费用明显下降(P<0.05)。结论对缺血性糖尿病足患者实施血管外科一站式诊治是可行的,且可以显著降低患者的总住院时间和住院总费用。

Objective To investigate feasibility and effect of one-stop diagnosis and treatment for patients with ischemia diabetic foot in vascular surgery. Methods Clinical data of 855 patients was retrospectively analyzed with dia-betic foot successfully underwent endovascular intervention therapy during January 2008 and December 2015. Among the 855 patients, 488 patients, who received multidisciplinary collaboration of combined treatment during January 2008 and December 2012, were used as multidisciplinary treatment group;367 patients, who received one-stop diagnosis and treat-ment in vascular surgery during January 2013 and December 2015 were used as one-stop diagnosis and treatment group. Differences in demographic characteristics, complete ulceration healing rate at discharging, total hospitalization stay and medical cost were studied in two groups. Results There were no significant differences in demographic characteristics and complete ulceration healing rate at discharging in two groups （ P〉0. 05 ） . Values of total hospitalization stay and medical cost were lower in one-stop diagnosis and treatment group than those in multidisciplinary treatment group （ P〈0. 05）. Conclusion One-stop diagnosis and treatment for patients with ischemia diabetic foot in vascular surgery is fea-sible, and it can shorten total hospital stay and reduce total medical cost.