《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (12): 1102-1103.

• 临床研究 • 上一篇    下一篇

62例糖尿病足患者危险因素分析

李梅欣1,2a; 张京1,2b; 马岳珠1,2b; 李雪梅1,2c; 李敬1,2c; 刘燕萍1,2a; 孟申1,2a   

  1. 1.首都医科大学康复医学院,北京市 100068;2.北京博爱医院a.内科;b.检验科;c.功能科,北京市 100068
  • 收稿日期:2006-08-28 出版日期:2006-12-01 发布日期:2006-12-01

Risk Factors of Diabetic Foot Patients with Type 2 Diabetic Mellitus:62 Case Report

LI Mei-xin, ZHANG Jing, MA Yue-zhu, et al   

  1. The Department of Internal Medicine, Beijing Charity Hospital, Beijing 100068, China
  • Received:2006-08-28 Published:2006-12-01 Online:2006-12-01

摘要: 目的探讨2型糖尿病足患者的临床特征及危险因素。方法回顾性分析62例2型糖尿病足患者的资料,包括年龄、性别、病程、空腹血糖、糖化血红蛋白、血红蛋白、肾小球滤过率、清蛋白、血脂、肌电图、双下肢动脉彩色多普勒超声检查等,并与60例无糖尿病足的2型糖尿病患者进行对比分析。结果两组患者的年龄、性别、血红蛋白、清蛋白,以及肌电图和动脉多普勒超声检查结果差异有显著性意义(P<0.05),而病程、空腹血糖、糖化血红蛋白、肾小球滤过率、血脂等指标差异无显著性意义(P>0.05)。结论高龄、男性、周围神经病变、周围血管病变是2型糖尿病足的危险因素,患者多合并贫血、低清蛋白血症。

关键词: 糖尿病足, 临床特征, 危险因素

Abstract: Objective To investigate the clinical characteristics and risk factors of diabetic foot (DF) patients with type 2 diabetic mellitus.Methods The data of 62 DF patients with type 2 diabetic mellitus included age, sex, the duration of disease, the concentrations of HbA1C, hemoglobin (Hb), blood-lipids, electromyogram, CDFI of lower extremities artery were analyzed retrospectively and compared with 60 patients with type 2 diabetic mellitus, but without DF.Results The factors of age, sex, Hb, albumin, electromyogram, CDFI of lower extremities artery were significantly different between two groups ( P<0.05), but no significant difference in the duration of disease, fasting blood-glucose, HBA1C, glomerular filtration rate, blood-lipids ( P>0.05).Conclusion The senility, male, peripheral neuropathy and peripheral vessel disease are the risk factors of DF with type 2 diabetic mellitus, and anemia and hypoproteinemia are often occurred in such patients.

Key words: diabetic foot, clinical characteristics, risk factor