浅析老年糖尿病患者糖尿病足高危因素以及护理干预措施.docVIP

浅析老年糖尿病患者糖尿病足高危因素以及护理干预措施 　　[摘要] 目的 对老年糖尿病患者的糖尿病足高危因素以及临床护理干预措施进行探讨分析。 方法 2014年2月―2016年7月该院对59例老年糖尿病患者进行了研究分析，将患者分成糖尿病足组31例和单纯糖尿病足组28例，对两组的临床资料进行研究分析，寻找糖尿病足的诱发高危因素。 结果 糖尿足组和单纯糖尿病足两组的病程、HbA1c值、UA值等指标差异有统计学意义，为患者使用心理干预、饮食干预等护理措施后，糖尿病足患者的病情显著改善。 结论 糖尿病足患者的病程延长、神经、血管病变等均会导致患者的糖尿病足发作，临床中积极控制患者病情，提供干预护理措施能够有效控制病情。 　　[关键词] 糖尿病足；老年；高危因素 　　[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062（2017）05（a）-0105-02 　　Analysis of High Risk Factors and Nursing Intervention Measures of Diabetic Foot in Elderly Diabetic Patients 　　GUO Jie 　　Department of Endocrine Geriatric Rheumatology， Hongxinglong Administration Center Hospital of Youyi County， Shuangyashan， Heilongjiang Province， 155811 China 　　[Abstract] Objective This paper tries to investigate and analyze the high risk factors and clinical nursing interventions of diabetic foot in elderly diabetic patients. Methods 59 cases of elderly patients with diabetes mellitus from February 2014 to July 2016 in this hospital were analyzed and divided into diabetic foot group and no diabetic foot group， with 31 and 28 cases in these two groups respectively. The clinical data of both groups were analyzed and studied， so as to find out the high risk factors of diabetic foot. Results The course of this disease， HbA1c value， UA value and other indicators of the two groups were statistically different. Patients’ diabetic foot disease improved significantly after psychological intervention， diet intervention and other nursing measures. Conclusion The prolonged course of disease， neurological and vascular diseases of diabetic foot patients can lead to diabetic foot attack， while actively controlling the patient’s condition and providing intervention nursing measures can effectively control the disease. 　　[Key words] Diabetes foot； Elderly； High risk factors 　　糖尿病足（DF）以老年糖尿病（DM）患者?橹鳎?约有45%～60%的糖尿足患者是混合型糖尿病足，有10%是缺血型糖尿病足，有25%～44%是神经型糖尿病足。对糖尿病足高危群体提供早期预防措施能够降低其法律，尽早诊断和治疗能够降低患者的截肢几率[1]。了解糖尿病足高危因素能够有助于临床早期预防，对老年糖尿病足患者而言，控制血糖、改善微循环、提供营养支持、抗感染等治疗措施结合护理干预能够