high-pressure oxygen therapy on the joint through the femoral artery puncture the efficacy of thrombolytic treatment of diabetic foot(高压氧疗法通过股动脉穿刺联合溶栓治疗糖尿病足的疗效).docVIP
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high-pressure oxygen therapy on the joint through the femoral artery puncture the efficacy of thrombolytic treatment of diabetic foot(高压氧疗法通过股动脉穿刺联合溶栓治疗糖尿病足的疗效)
High-pressure oxygen therapy on the joint through the femoral artery puncture the efficacy of thrombolytic treatment of diabetic foot
[Keywords] HBO; femoral artery puncture; diabetic foot; thrombolytic Diabetic foot (DF) diabetes (DM) is one of the major chronic complications, mainly refers to patients with different degrees of neuropathy and vascular disease of the lower limbs caused by infection, ulcer formation and (or) deep tissue damage. It has highly disabling or fatal, the high amputation rate as high as 20% [1], the final outcome often is amputation or death. In this study, hyperbaric oxygen therapy with thrombolytic DF 40 patients achieved a significant effect , are as follows.
1 Subjects and methods 1.1 Object Choose our department in January 2005 and August 2006 60 patients hospitalized 2DM, diagnosis are in line with lt;lt;Practical Endocrinology ‘[2] standard, of which 40 males and 20 females, aged 47 to 69 years (mean 58 + -11 years), duration (10 + -4.5) years. Selection criteria: (1) age at diagnosis of diabetes were 40 years of age; (2) lower extremity numbness, pain, limp, blisters or ulcers, gangrene; (3) color Doppler ultrasound examination revealed dorsal artery stenosis, in membrane thickening, thrombosis, or blood flow slowed down.
1.2 Methods Check the patient’s feet, the scope and extent of disease, evaluation and classification using Wagner records in a 2:1 ratio according to admission order and wagner classification into treatment group and control group between the two groups of patients were characterized by diabetes health education, diet control [(calculated according to standard weight, the total heat control in 102.2 ~ 119.4KJ / (kg ?d)], insulin, blood glucose control, effective antibiotics to control infections, local abscesses by incision or toe gang rene or necrotic tissue removal; disabled anticoagulation, vasodilators, lipid-lowering drugs in the treatment group: In addition to giving the above treatm
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