摘要
目的探讨糖尿病(DM)患者足溃疡的危险因素。方法对352例DM患者的一般临床资料、实验室检查结果、足部状况、足部护理知识等与足溃疡相关的46项内容进行评估,分析筛选足溃疡的危险因素。结果DM患者合并足溃疡发病率为12.78%,年龄<60岁组发病率为11.05%,≥60岁组为14.44%。经多元回归分析筛选出15项有统计学意义的变量:男性、合并神经病变和微血管病变、空腹血糖和血压控制不良、足背动脉搏动异常、下肢缺血症状明显、足部皮肤异常、趾甲畸形、足部护理知识缺乏等为足溃疡发生的危险因素。结论加强对DM足病高危人群早期筛查,对预防足溃疡、截肢的发生有积极意义。
Objective To study diabetic foot ulceration and its risk factors. Methods Cases analysis study, examination of foot conditions, knowledge score of diabetic foot care, and 46 related factors of diabetic foot ulceration were carried out and evaluated in 352 diabetic patients. Results The prevalence of diabetic foot ulceration was 12.78%, being 11.05% in diabetic patients aged 〈60 years and 14.14% in diabetic patients aged≥60 year. With logistic regression analysis the followings were independent foot ulcer-relating risk factors： male, diabetic neuropathy, mieroangiopathy, FBG, hypertension, absence of palpable foot pulse, ischemie symptoms of lower limbs, abnormal foot skin, deformity of foot nail and poor foot care knowledge. Conclusions Patients with high risk factors for foot ulceration should be paid more attention and regular complications screening, which may decrease foot ulceration and amputations.
出处
《中国糖尿病杂志》
CAS
CSCD
北大核心
2006年第6期435-437,共3页
Chinese Journal of Diabetes
关键词
糖尿病
足溃疡
糖尿病性
危险因素
Diabetes mellitus
Foot ulcer, diabetic
Risk factors
