Analysis of the clinical characteristics and therapeutic efficacy in 313 patients with diabetic foot
10.3969/j.issn.1006-6187.2009.11.006
- VernacularTitle:313例糖尿病足患者临床特点及疗效分析
- Author:
Nanbing YUAN
;
Dafeng LIU
;
Tingting YU
;
Yan WANG
;
Weiping WANG
;
Chun WANG
;
Xingwu RAN
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus;
Diabetic foot;
Complication;
Therapeutic efficacy
- From:
Chinese Journal of Diabetes
2009;17(11):815-817
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the prevalence of diabetic foot(DF) in the hospitalized diabetic patients and analyze the clinical characteristics and therapeutic efficacy of patients with diabetic foot. Methods The 313 patients (180 males and 133 females) were divided into two groups：group A (1/1996-12/2003) and group B (1/2004-12/2006). Results 2.79% of the hospitalized diabetic patients had diabetic foot. The mean age and duration of diabetes were 66±10 years old and 9.33±6.52 years respectively, the mean duration of diabetic foot was 8.13±17.06 months and the average days in hospital was 29.62±28.36d. Many patients suffered from diabetic nephropathy, cataracts, retinopathy, neuropathy, vascular disease, hypertension, infection, and so on. The blood pressure and blood glucose were poorly controlled in many of the patients. Of all patients, 28.1% were completely healed, 40.6% were improved without amputation and 31.3% had not healed at the time of death or follow-up (including 9.3 % of them were amputated in leg and 6.2% were dead). But group B versus group A showed higher cure rates of DF (37.04 % vs 18.54 %). Conclusions The prevalence of DF in the hospitalized diabetic patients is gradually increased, most patients with DF accompany with one or multiple other complications. A multifactorial treatment by a multidisciplinary foot care team is a superior treatment strategy for improving prognosis of patients with DF.
