糖尿病足筛查在糖尿病足溃疡三级预防中的应用

摘要

目的:了解糖尿病患者糖尿病足溃疡危险状况,以指导糖尿病足溃疡三级预防.方法:采用英国Huntieigh糖尿病足筛查诊断箱和Gavin's糖尿病足危险因素加权值积分评价方法,对148例糖尿病患者的一般临床资料、各项检查、化验、足部状况等与足溃疡发生相关因素进行筛查.结果:低危足28例,中危足69例,高危足43例,正常足8例.结论:糖尿病患者发生糖尿病足溃疡的危险性高,需加强筛查,根据足溃疡危险等级进行糖尿病足溃疡的三级预防,降低致残、致死率.%Objective: To guard tertiary prevention of diabetic foot ulcer, we investigated danger condition of diabetic foot.Methods: General clinical data, results of laboratory examination, and foot ulcer correlated contents including foot condition were screened using diabetic foot diagnose box( Huntieigh; England )in 148 cases of diabetics.Gavin's risk factors of diabetic foot were assessed with weighted value integration.Results:28 hyp - danger foot ( 18.92％ ), 69 moderate danger foot ( 46.62％ ), 43 high danger foot ( 29.05％ ) and 8 normal foot ( 5.40％ ) were identified.Conclusion:The risk of foot ulcer in diabetics is high.To prevent diabetic foot development and decrease mutilation and fatality, we should strengthen diabetic foot screening and tertiary prevention of diabetic foot according to foot ulcer danger classes.