摘要
目的探讨糖尿病皮肤溃疡病损全程综合治疗的效果和临床意义。方法对南京医科大学附属苏州明基医院内分泌科2013年6月至2018年6月经综合系统治疗并随访的21例糖尿病皮肤感染患者的临床资料进行回顾性分析,总结全程综合治疗的效果和临床意义。结果 21例患者中,糖尿病足部溃疡伴感染11例,其中接受足趾截肢6例,5例接受综合清创换药;下肢小腿皮肤感染4例;臀部感染6例。所有患者经院内治疗以及后期门诊随诊进一步治疗后均治愈或显著好转。结论真菌和细菌所致的皮肤感染后溃疡在糖尿病患者中最为常见,临床治疗中实行全程系统综合治疗,同时进行创面彻底清创换药是良好预后的基础。
Objective To investigate the clinical significance and effect of comprehensive treatment for skin ulcers associated with diabetes. Methods The clinical data of 21 patients with diabetic skin infection who underwent comprehensive systemic treatment in Department of Endocrinology of the Affiliated Suzhou BenQ Medical Center of Nanjing Medical University from June 2013 to June 2018 were retrospectively analyzed. The clinical significance and effect of comprehensive treatment were summarized. Results Among the 21 patients, diabetic foot ulcers and infection were found in 11 cases, including 6 cases of toe amputation and 5 cases of comprehensive debridement and dressing change;4 cases of lower leg calf skin infection;6 cases of hip infection. All patients were cured or improved significantly after hospital treatment and follow-up treatment. Conclusions Fungal and bacterial infections after skin infection are most common among diabetic patients, comprehensive treatment of whole course is carried out in clinical treatment, at the same time, thorough debridement and dressing change is the basis of good prognosis.
作者
徐岗村
顾霖
杨素兰
董吉祥
Xu Gangcun;Gu Lin;Yang Sulan;Dong Jixiang(Department of Endocrinology,the Affiliated Suzhou BenQ Medical Center of Nanjing Medical University,Suzhou 210029,China)
出处
《中国实用医刊》
2018年第24期1-3,共3页
Chinese Journal of Practical Medicine
基金
南京医科大学科技发展基金(2016NJMU148).
关键词
糖尿病
皮肤损害
综合治疗
Diabetes mellitus
Skin lesions
Comprehensive treatment
