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目的探讨老年糖尿病患者康复过程中严重皮肤感染发病机制、临床表现及常见致病菌。方法回顾性分析 38例皮肤损伤原因、感染好发部位及常见致病菌 ,分析入院时生化指标。结果皮肤损伤多因护理不当和保护知识缺乏 ,感染多发生在足部 ,其次是背部及臀部 ;病原菌多为条件致病菌 ,以金黄色葡萄球菌最多见 ;其中高血糖、高纤维蛋白原、低白蛋白血症及贫血为独立危险因素。结论老年糖尿病患者康复治疗过程中易发生皮肤感染 ,对糖尿病患者教育及护理是预防严重皮肤感染的关键。
Objective To investigate the pathogenesis, clinical manifestations and common pathogens of severe skin infections in the elderly diabetic patients during rehabilitation. Methods Retrospective analysis of 38 cases of skin injury, infection and common parts of common pathogens, analysis of biochemical indicators of admission. The results of skin damage and more due to improper care and lack of knowledge, infection occurred in the foot, followed by the back and buttocks; pathogens are mostly opportunistic pathogens to Staphylococcus aureus is the most common; of which high blood sugar, high fibrinogen, Hypoalbuminemia and anemia are independent risk factors. Conclusion Elderly diabetic patients prone to skin infections during rehabilitation, education and care of diabetic patients is the key to prevent severe skin infections.