通过不同方法改善血供治疗糖尿病足的临床与研究.pdfVIP

国际胃肠疾病论坛(重庆)暨第三届内分泌外科学术研讨会·大会交流论文 通过不同方法改善血供治疗糖尿病足的临床研究 卢坤 李若雪文秀英李秉辉 【摘要】 目的研究分析通过不同方法改善血供治疗糖尿病足的临床价值，并探讨总结诊治经验。 方法将85例糖尿病足患者按照病情程度分级归类，分为外科手术治疗组和中西医结合保守治疗组治疗 后，比较两组疗效的差异。结果85例糖尿病足患者综合治疗最长达一年，最短3个月，平均6个月。临 床糖尿病足外科手术组43例，治愈28例，显效9例，有效4例，无效2例，死亡0例，总有效率95．3％。保 守治疗组42例，治愈26例，显效8例，有效5例，无效3例，死亡0例，总有效率92．9％。两组疗效均较高 且疗效确切，两组疗效比较差异无统计学意义(PO．05)。结论治疗糖尿病足的关键在于处理血管病 变改善血供。临床上可个体化选择外科手术法或保守治疗法，两者对抗凝溶栓扩通血管效果相当，且疗 效确切。 【关键词】糖尿病足；外周动脉病变：外科手术；保守治疗 Clinical ontreatmentofdiabeticfoot blood two study byimprovingsupplythrough different吧uKun,LIRuo-xue,WEN ways Bing-huL*EndocrinologyDepartmentof Xiu-ying,LI Liyuan Medical Scienceand 430077, Hospital,TonalCollege,HuazhongUniversityof Technology,Wuhan Chinn． author．L1 CorrespondingBing-hui．E-mailaddress：reassure@竺eah,net To theclinicalvalueontreatmentofdiabeticfoot blood [Abstract]Objectiveanalysis byimproving different our of andtreatment．Methods85 methods，and supplyby summaryexperiencediagnosis patients withdiabeticfootdiseaseWas toclassificationanddividedinto andconservative gradedaccording surgical treatment the betweenthetwo 85casesof group respectively,comparedefficacy groups．Results patients in to were up a shortest3 6months．42 werein therapylongest year,the months，theaverage patients conservativetreatment were caseswere caseswere group：26patientscured，8 markedlyeffective，5 effective，3 caseswere 0 thetotal