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目的了解住院糖尿病(DM)患者糖尿病足(DF)的患病率,并分析其临床特点和治疗效果。方法调查我院1996年1月至2006年12月共313例住院DF病患者的临床资料,并比较1996年1月—2003年12月(A组)和2004年1月—2006年12月(B组)两个时间段患者的治疗效果。结果 DF患者占同期住院DM总人数的2.79%,平均DM病程9.33±6.52年,DF病程8.13±17.06月。DF患者总的治愈率为28.1%,好转率为40.6%,无效率为31.3%;DF分级越高,治疗效果越差。B组治愈率(37.04%)显著高于A组(18.54%)。结论 DF的发生率不断升高,多学科合作团队有利于提高DF的治愈率。
Objective To investigate the prevalence of diabetic foot (DF) in hospitalized diabetic patients (DM) and analyze its clinical features and therapeutic effects. Methods The clinical data of 313 hospitalized DF patients from January 1996 to December 2006 in our hospital were investigated and compared between January 1996 and December 2003 (group A) and January 2004 to December 2006 Group B) treatment of patients in two time periods. Results DF patients accounted for 2.79% of the total number of hospitalized patients with DM in the same period. The mean duration of DM was 9.333 ± 6.22 years and the duration of DF was 8.13 ± 17.06 months. The overall cure rate of DF patients was 28.1%, the improvement rate was 40.6% and the inefficiency rate was 31.3%. The higher the DF grade was, the worse the treatment effect was. The cure rate in group B (37.04%) was significantly higher than that in group A (18.54%). Conclusion The incidence of DF is increasing, and multidisciplinary cooperation team is helpful to improve the cure rate of DF.