摘要
【目的】通过对糖尿病（DM ）患者进行糖尿病足筛查，了解患者糖尿病足的危险状况，分析其在预防糖尿病足溃疡的效果。【方法】将本院收治的82例DM患者在接受常规教育的基础上，定期接受糖尿病足现状筛查，详细记录患者的足部状况等各项导致足溃疡发生的因素，进行至少24个月随访，对患者的足部状况进行评估分析。【结果】24个月后，患者的生活习惯良好，患者每日检查足部，用合适的水温泡脚，除极个别患者吸烟、喝酒外，大多均已戒烟戒酒；患者足部感染率为14．6％（12／82），足部溃疡3．7％（3／82）；与实施预防措施前相比，足部病变危险率有大幅减低，差异有统计学意义（ P＜0．05）。【结论】定期对DM 患者进行足现状筛查能有效地起到对足溃疡的预防作用，值得在临床推广应用。
[Objective]To understand the risk of diabetic foot and analyze the efficacy of diabetic foot screening in the prevention of diabetic foot ulcer through diabetic foot screening for diabetic patients .[Meth‐ods] On the basis of routine education ,28 patients with diabetes mellitus in our hospital received regular dia‐betic foot screening .The indexes resulting in the incidence of foot ulcer such as foot condition of patients were recorded in detail .All patients were followed up at least 24 months .Foot condition of patients was evaluated .[Results] After 24 months ,patients had good living habit ,examined their foot daily and bathed their foot un‐der with suitable water temperature .Except some patients ,many patients stopped smoking and drinking .The incidence of foot infection was 14 .6% （12/82） ,and the incidence of foot ulcers was 3 .7% （3/82） .Compared with before the implementation of preventive measures ,the risk of foot disease was decreased greatly ,and there was significant difference（ P〈0 .05） .[Conclusion]Regular screening for diabetic patients can effective‐ly prevent foot ulcers .Therefore ,it is worthy of clinical promotion .
出处
《医学临床研究》
CAS
2015年第3期426-428,共3页
Journal of Clinical Research
基金
广东省茂名市科技局基金资助项目（编号20111039）
