韩志强

【摘 要】目的：分析探讨老年糖尿病足坏疽患者的临床特征及其危险因素。方法：把我们医院在2020年1月至12月期间收治的60例老年糖尿病足坏疽患者当成这个研究的对象，然后再把同一时期老年糖尿病未患足坏疽患者当成对照的一组，把这两组患者的餐后2h血糖含量、空腹血糖、舒张压与收缩压这些项目相比较，对在其中的原因进行一系列的讨论。结果：被观察的一组的各个指标都和对照组有特别大的不一样，例如糖化血红蛋白、空腹血糖这些指标，然后在Logistic回归分析下，总结出来的是，在老年糖尿病足坏疽患者的危险因素中，影响最大的就是年龄、糖化血红蛋白指标与糖尿病肾病这些原因。结论：对有老年糖尿病足坏疽患者来说，他们的年龄、糖化血红蛋白指标与糖尿病肾病并发症这些原因很有可能成为危险因素，在治疗过程中要密切监测相关指标，尽早预防发生，保证患者病情稳定，从而提高患者的生活质量，对糖尿病足坏疽患者具有重要诊断意义。

【关键词】老年糖尿病足；临床特征；危险因素

Analysis and clinical characteristics and risk factors of diabetic foot gangrene in the elderly

Han Zhiqiang

Yutian Hospital of traditional Chinese medicine， Tangshan， Hebei，Hebei Tangshan 064100， China

【Abstract】Objective：To analyze the clinical characteristics and risk factors of diabetic foot gangrene in the elderly.Methods：A total of 60 elderly diabetic foot gangrene patients dmitted in our hospital from January 2020 to December 2020 were taken as the subjects of this study. Then elderly diabetic who did not suffer from foot gangrene in the same period was used as a control group，we compared the postprandial 2H blood glucose levels， fasting blood glucose，diastolic blood pressure and systolic blood pressure between the two groups of patients. Results：All the indexes observed in the observation group were very different from those in the control group， such as glycosylated hemoglobin and fasting blood glucose. Then， in the Logistic regression analysis， it was concluded that among the risk factors of elderly diabetic foot gangrene， the most influential factors were age， glycosylated hemoglobin index and diabetic nephropathy.Conclusion：For elderly diabetic foot gangrene patients， their age，glycosylated hemoglobin index and diabetic nephropathy complications are very likely to be the risk factors. During the treatment， we should closely monitor the relevant indicators， prevent the occurrence as early as possible， ensure the stability of patients’ condition，and improve the quality of life of patients. It has important diagnostic significance for diabetic foot gangrene patients.

【Key？Words】Elderly diabetic foot； Clinical features； Risk factors

根據相关类型的研究报告调查结果显示，在所有患老年糖尿病的患者中，有三分之二的患者患病类型都是属于二型糖尿病，患一型糖尿病的患者人数比较少，又根据患者患糖尿病的年龄与时间可将他们分成两部分，以六十岁为界限，六十岁以上的属于老年人糖尿病的患者。基底部病变常影响微循环异常，糖尿病下肢血……