Diabetic Foot Clinical features of 107 cases.docVIP

 PAGE \* MERGEFORMAT 6 Diabetic Foot Clinical features of 107 cases [Keywords:] Clinical features of diabetic foot Diabetic foot (DF) is a diabetes mellitus (DM) of serious complications, some ultimately amputation, amputation caused by multiple due to poor infection control. We retrospectively analyzed hospital patients admitted to the Wagner classification DF, incentives, and infectious pathogens and other related characteristics, review the clinical characteristics of patients with DF, in order to provide the basis for prevention and treatment of DF. 1 Data and methods 1.1 General Information I Department of Endocrinology, Hospital from 2000 to 2008 a total of 107 cases of patients treated DF. 63 cases were male and female 44 cases; aged 30 to 79 years, mean 47.2 years old; course of 1 month to 18 years; the average blood glucose 17.3 ± 5.4mmol / L, the average glycosylated hemoglobin (10.2 ± 1.8)%. DM diagnostic criteria in line with the American Diabetes Association (ADA) 1999 annual standard. DF judgments based on: foot part or all of the swelling, excess pus, skin defects, soft tissue necrosis or bone destruction, foot part or all of the black necrosis. 1.2 Inspection Method ① Check the nervous system: including temperature sensation, pain, vibration perception, S  W nylon examination and application of Danish products posterior tibial electromyography to measure the sensory nerve conduction velocity. ② circulation disorder examination: blood pressure index (ABI), color ultrasound diagnostic apparatus measured pairs of lower extremity arterial diameter, blood flow velocity peak time, blood flow, wall situation, and as a DM basis for the diagnosis of peripheral vascular disease. ③ get foot ulcers, or purulent secretions materials for drug sensitivity analysis. 2 Results 2.1 Wagner classification This group of patients in the 0 none, 1 (with a superficial ulcer) in 8 cases accounted for 7.5%, 2 (with a deep ulcer) in 41 cases accounted for