糖尿病足患者62例临床诊治与护理对策

Clinical diagnosis and treatment and nursing countermeasures of diabetic foot patients in 62 cases

目的:探讨糖尿病足患者的临床诊治和护理对策。方法:对62例糖尿病足病例进行归因案例分析。结果:治疗结果有3种情况,分别是病情较轻经保守治疗足部溃疡痊愈出院,病情较重经植皮或截肢治疗伤愈出院,放弃手术治疗而出院。结论:糖尿病足的独立高危因素是血糖控制不佳、合并下肢血管病变及神经病变,对患者采取相应的临床治疗及护理措施能够有效防止糖尿病足的发生。

Objective:To explore the clinical diagnosis and treatment and nursing countermeasures of diabetic foot patients.Methods:62 cases of diabetic foot were given attribution case analysis.Results:The treatment results had three cases.The lighter illness were foot ulcer healed and discharged after conservative treatment.The serious illness were recovered and discharged after skin graft or amputation treatment,other given up surgery and discharged from hospital.Conclusion:The independent risk factors of diabetic foot are the poor blood glucose control,the combination of lower extremity vascular disease and neuropathy.Taking the corresponding clinical treatment and nursing measures for patients can effectively prevent the occurrence of diabetic foot.