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目的探讨糖尿病足(DF)的临床特点及内科综合治疗的临床情况。方法选取该院2015年1月—2016年12月收治的90例患有糖尿病足的患者进行分析,总结其临床特点以及内科综合治疗情况。结果糖尿病足发生在70岁以上占比为47.7%,在10~15年糖尿病患者中发生率占比为48.9%,水疱是发生糖尿病足的最大诱因,占比为47.9%,发病多为单发,发生在足趾占比为52.2%,合并神经周围病变占比为86.7%,神经缺血性溃疡发生率为45.6%。糖尿病足级别越高治疗效果越差。结论糖尿病足患者多为高龄、糖尿病病程较长的患者,伴发多种并发症,给予内科综合治疗后效果显著,建议临床上对糖尿病患者的足部多加注意,及早诊断及早治疗,提高患者的治疗效果。
Objective To investigate the clinical features of diabetic foot (DF) and the clinical situation of comprehensive medical treatment. Methods Ninety patients with diabetic foot admitted from January 2015 to December 2016 in our hospital were analyzed, and their clinical features and comprehensive medical treatment were summarized. Results Diabetic foot occurred in 47.7% of patients over the age of 70, accounting for 48.9% of patients with diabetes in 10 to 15 years. Blister was the most common cause of diabetic foot, accounting for 47.9% , Accounting for 52.2% in toe, 86.7% in lesions surrounding the combined nerves, and 45.6% in ischemic ulcers. The higher the level of diabetic foot treatment, the worse. Conclusion Most patients with diabetic foot are elderly patients with longer duration of diabetes mellitus, accompanied by multiple complications, and the results are obvious after comprehensive medical treatment. It is suggested that more attention should be paid clinically to the foot of diabetic patients, early diagnosis and early treatment and patients’ treatment effect.