Experience of Diabetic Foot Care.docVIP

 PAGE \* MERGEFORMAT 6 Experience of Diabetic Foot Care [Keywords:] diabetic foot; Care Diabetic foot (DF) was mainly due to diabetes, vascular disease, neuropathy caused by insufficient blood circulation, lower extremity, ischemia, ulcers, necrosis, or even a concurrent infection of foot disease, more common in longer duration, the age of 60 years of age, blood glucose control is poor, more complications in patients with diabetes can increase, decrease resistance to infectious, wound healing and the formation of gangrene, leading to a vicious cycle, resulting in amputation in patients with disabling, serious impact on quality of life of diabetic patients. our department in patients with diabetic foot After treatment of the basic wound healing, disease progression did not occur or amputation, now care are summarized below. 1 Clinical data 20 patients with type 2 DM patients, 11 males and 9 females; aged 37 to 83 years, duration of 2 days to 8 months, of which 19 cases of wet gangrene, mixed gangrene in 1. Wagnr graded according to law, local lesion 8 cases of grade , grade 3, grade in 8 cases, level 1 case. 2 treatment 2.1 Systemic treatment of blood glucose control, infection control, improve microcirculation, nutrition, and supportive treatment and nerve complications of treatment, while giving the medicine orally, can eliminate hot detoxification, circulation and pain relief, Qi and yin, qi and blood circulation; infusion Salvia, safflower and other blood circulation, the clinical syndrome differentiation according to the different; such as blood stasis type, governing the qi and blood circulation, circulation and pain relief, prescription options Simiao An Decoction; Yin Deficiency folder stasis type. rule to Qi Yin, righting myogenic, herbs optional Shenmai decoction. 2.2 The local treatment such as dry gangrene, by the “stasis,” which, using the “stasis myogenic paste” for external application. The skin dry necrotic tissue “simmer”