杨金丹 王冬梅 刘伟 解志坚 潘雪

[摘要] 目的 分析2型糖尿病合并糖尿病足患者临床规范治疗方法与效果。方法 2019年2月—2020年2月选取该院接诊的50例2型糖尿病合并糖尿病足患者作为研究对象，回顾性分析患者临床资料，皆采取临床规范治疗，包括积极控制血糖、扩血管与改善微循环治疗、抗感染治疗、支持及对症治疗等，总结分析临床治疗效果。结果 50例患者经过规范治疗后，其中痊愈32例、有效17例、无效1例，总有效率98.00%;药物不良反应发生仅有1例，发生率为2.00%。结论 2型糖尿病合并糖尿病足患者采用规范治疗可以取得比较良好的效果，总有效率与安全性较高。

[关键词] 2型糖尿病;糖尿病足;中西医结合;规范治疗

[中图分类号] R242          [文献标识码] A          [文章编号] 1672-4062（2020）04（a）-0194-03

[Abstract] Objective To analyze the clinical standard treatment methods and effects of patients with type 2 diabetes and diabetic foot. Methods Fifty patients with type 2 diabetes complicated with diabetic foot admitted to this hospital from February 2019 to February were selected as the research object， and their clinical data were retrospectively analyzed. All patients were treated with clinical norms， including actively controlling blood glucose， expanding blood vessels and improving microcirculation treatment， and anti-infection Treatment， support and symptomatic treatment， etc.， summarize and analyze the clinical treatment effect. Results After standard treatment of 50 patients， 32 patients were cured， 17 patients were effective， and 1 patient was ineffective. The total effective rate was 98.00%. Adverse drug reactions occurred in only 1 case， and the incidence was 2.00%. Conclusion The standard treatment of patients with type 2 diabetes and diabetic foot can achieve relatively good results， and the total effective rate and safety are high.

[Key words] Type 2 diabetes; Diabetic foot; Integrated traditional Chinese and western medicine; Standardized treatment

糖尿病足是糖尿病常見的慢性并发症，严重残疾，临床症状主要是四肢瘫痪，足溃疡和坏疽，严重影响患者的生活质量。糖尿病和内分泌系统可能与高血糖，下肢微循环，代谢紊乱，由微血管疾病引起的免疫功能障碍，周围神经病或脆弱足的损伤有关[1]。下肢动脉血流不足可能导致足部糖尿病等疾病。患者也应该长时间住院，因为糖尿病足的治疗也有广泛的靶向和长治疗时间创伤。足部糖尿病的组合不仅是糖尿病患者住院的主要原因，而且住院费用高昂给社区和家庭带来压力[2]。虽然对糖尿病患者的生活质量没有有效的治疗方法，但充分了解糖尿病的原因和风险非常重要。2019年2月—2020年2月对50例2型糖尿病和糖尿病患者的治疗进行了标准化，并分析了糖尿病患者的临床治疗和风险因素。……