Analysis of 26 cases of diabetic foot.docVIP

 PAGE \* MERGEFORMAT 5 Analysis of 26 cases of diabetic foot [Abstract] lead to diabetic patients with diabetic foot maiming and killing one of the major chronic complications. This paper describes the pathogenesis of diabetic foot, treatment, presented the importance of early prevention of diabetic foot. [Keywords:] diabetic foot; treatment; Prevention Are treated in our department from 2006-2009, 26 cases clinical analysis of patients with diabetic foot, are summarized below. 1 Materials and Methods 1.1 General information on 26 cases of type 2 diabetic foot, 19 males and 7 females; mean age (49 + -10 years), duration (10 + -8) years, of which 16 patients with both neuropathy, retinopathy, 10 cases kidney disease in 6 cases. The average blood glucose (15 + -4.6) mmol / L, mean glycated blood protein (9.6 + -2.4)%. occurrence site has toe, instep, heel, ankle, leg; graded by Wegner , 1 in 11 cases, 7 cases of grade 2, grade 3 in 4 cases, 3 cases of grade 4, 5 in 1 case; lower extremity color Doppler have varying degrees of lower extremity arterial sclerosis, slow blood flow, 3 cases of lower extremity arterial occlusive . 1.2 Treatment (1) control of blood glucose, fasting blood glucose control in the 4.4 ~ 7mmol / L, 2h postprandial blood glucose control in the 6 ~ 10mmol / L; (2) control the infection. Experience the results of medication or use of antibiotics based on susceptibility to ensure adequate the amount of full course of treatment; (3) local wound treatment. Clean the wound to remove pus, scabs and necrotic tissue, deep ulcers and those who had sinus scraping the surface of necrotic material, adequate drainage, thorough debridement, daily dressing 1 2, the conventional washing with saline after disinfection; lesions can be localized based on wet dressing, wet dressing liquid preparation: saline 20ml, insulin 4 ~ 8 U, gentamicin 4 ~ 80 000 U, metronidazole 10ml , with ultraviolet radiation [1]; (4) to improve limb blood flow. can c