糖尿病足溃疡危险因素与临床治疗研究.docVIP

糖尿病足溃疡危险因素与临床治疗研究 　　[摘要] 目的 对糖尿病足溃疡的危险因素与临床治疗进行研究。方法 方便选择该院2012年3月―2016年3月收治的 86例患者，按照随机分配的方法，分为观察组及对照组，其中对照组采用了常规的调查方式，观察组采用危险因素分析以及临床治疗研究的方法，对两组患者的临床资料以及详细病程进行记录。结果 研究中对两组患者的糖尿病足溃疡指标进行分析，发现观察组患者自主神经功能的评分为（18.39±0.14）分，对照组自主神经功能为（15.07±0.04）分，观察组的效果明显，数据差异无统计学意义（P0.05）。两组患者中的下肢肱指数进行分析，观察组指标为（0.50±0.13）分，对照组的观察指标为（0.76±0.30）分，观察组指标相对明显，数据差异无统计学意义（P0.05）。同时对观察组患者的糖尿病足溃疡的Wagner 分级进行了分析，发现Ⅰ级患者的好转率为85.71%，Ⅱ级患者的好转率为80.00%，Ⅲ级患者的好转率为78.57%，Ⅳ级患者的好转率为53.33%，V 级患者的好转率为0.00%。所选数据之间差异无统计学意义（P0.05），有可比性。结论 通过对糖尿病足溃疡的危险因素的研究，可以有效降低患者糖尿病发生的概率，减轻患者的痛苦，并明显提高患者的生存质量。 　　[关键词] 糖尿病足溃疡；危险因素；临床治疗；问题研究 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）09（b）-0103-03 　　[Abstract] Objective This paper tries to study the risk factors and clinical treatment of diabetic foot ulcers. Methods 86 cases of diabetic foot ulcers were convenient selected from March 2012 to March 2016 in this hospital and were divided into the observation group and the control group according to the random allocation method. The control group adopted routine survey method and the observation group adopted the method of risk factors and clinical treatment. The clinical data and the detailed course of the disease were recorded in the two groups. Results Diabetic foot ulcer index of two groups of patients in the study were analyzed， it was found that the autonomic nervous function score was （18.39±0.14）points in the observation group， the control group of autonomic nerve function was （15.07±0.04）points， the effect of the observation group was more obvious （P0.05） with no data difference. The lower limb brachial index of two groups were analyzed， the observation group was （0.50±0.13）points， the control group was （0.76±0.30）points， the observation group index was relatively obvious， the data were no difference （P0.05）. At the same time， the Wagner classification of diabetic foot ulcer patients were analyzed， it was found that improvement rate of patients with gradeⅠwas 85.71%， and that of grade II was 80.00%， grade III was 7