Elderly Characteristics and treatment of diabetic foot.docVIP

 PAGE \* MERGEFORMAT 9 Elderly Characteristics and treatment of diabetic foot Of: Chen Juying, Sun Lanying, Zhang Liangfen [Keywords:] Aged; diabetic foot; treatment Diabetic foot, also known as diabetic foot (Diabetic foot, DF), WHO will be defined as lower extremity diabetic foot remote neurological abnormalities and varying degrees of peripheral vascular disease associated with foot (ankle, or the part below the ankle) infection, ulcer and (or) deep tissue destruction [1]. China is the incidence of diabetes was gradually increased, about 12% to 25% of diabetes patients in the progression of diabetic foot can be complicated [2], this is the most common and serious complications, and highly debilitating and ultimately can lead to amputation or even death, China had reported amputation rate was 38.1% diabetes 75%, U.S. 50% of hospitalized patients with amputations for diabetics. The cause of treatment length, cost poor prognosis, causing great suffering to patients. I Division of the Department of Geriatrics, more diabetic patients are combined with experience of disease characteristics and treatment summary. 1 Materials and Methods 1.1 Clinical data of 30 cases were male, aged 60 to 86 years, mean 74.1 years of age, history of diabetes 3 to 20 years, with an average of 8.8 years, the ulcer lesions were: 3 cases of foot and ankle, foot back in 9 cases, the Ministry of toes 18 cases, the cause are: nine cases of trauma or crush injuries, burns in 6 cases, no obvious incentive to 15 patients with coronary heart disease, hypertension in 25 cases, combined lower extremity vascular disease in 10 cases, anemia in 2 patients, 23 lack of knowledge of diabetes health cases, partial understanding of 7 cases, according to Wagne classification standard [3] in which 3 cases of grade 0, grade 2 in 6 cases, 17 cases of grade 3, grade 4 in 4 cases. 1.2 Treatment 1.2.1 Systemic treatment (1) strict control of blood glucose: oral medication plus insulin, so