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[目的]探讨糖尿病足内外科综合治疗的临床疗效体会。[方法]自2005年1月～2008年12月间,126例糖尿病足采用胰岛素控制血糖,积极抗感染,改善微循环,合理清创换药,以及烧伤科植皮、骨科截肢或截趾等综合治疗。本文对其治疗结果进行回顾性分析。[结果]88例(69.8%)经内科治疗后痊愈;38例(30.2%)转外科植皮、截肢或截趾治疗;而其中Wagner分级3级以上者69例,内科治疗好转31例(44.9%),转外科38例(55.1%)。[结论]糖尿病足与慢性高血糖及其他多种因素有关,需胰岛素控制血糖、抗生素控制感染基础上进行综合治疗,可提高治愈率,降低致残率;加强糖尿病足教育有助减少糖尿病足的发生。
[Objective] To explore the clinical effect of comprehensive treatment of diabetic foot surgery. [Methods] From January 2005 to December 2008, 126 cases of diabetic foot used insulin to control blood sugar, active anti-infection, microcirculation, rational debridement and dressing change, and the combination of burns and skin grafts, amputation or trochlear treatment. This article reviews the results of its treatment. [Results] 88 cases (69.8%) recovered after medical treatment, 38 cases (30.2%) were treated by surgical skin grafting, amputation or trochomy. Among them, 69 cases were with Wagner grade 3 or more and 31 cases were cured by medical treatment (44.9% ), Surgery transferred to 38 cases (55.1%). [Conclusion] The diabetic foot is related to chronic hyperglycemia and many other factors. It takes insulin control of blood sugar and antibiotics to control the infection, which can improve the cure rate and reduce the morbidity. Strengthening the education of diabetic foot helps to reduce the diabetic foot occur.