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控制营养状况评分与糖尿病足溃疡创面修复的相关性研究

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目的 探讨控制营养状况(COUNT)评分与糖尿病足溃疡(DFU)创面修复的相关性。方法 随机选取2019年11月20日-2022年11月20日在本院接受治疗的80例DFU患者为研究对象,根据创面修复情况的不同分为非创面修复组(n=47)和创面修复组(n=33)。记录创面修复与住院时间,比较创面修复组与非创面修复组的临床特征及CONUT评分,采用多因素Logistic回归模型分析DFU创面修复的影响因素。结果 非创面修复组患者的住院时间是16。00(10。50,24。00)d,短于创面修复组患者的44。00(31。00,61。80)d,差异有统计学意义(P<0。05)。非创面修复组患者的总胆固醇(TC)、踝肱指数(ABI)、CONUT评分以及营养不良比率均高于创面修复组,差异有统计学意义(P<0。05)。多因素Logistic回归分析结果显示,CONUT评分、营养不良、TC、ABI是DFU创面修复的独立危险因素(P<0。05)。结论 DFU患者的营养不良、ABI、TC和CONUT评分均会对其创面修复造成不利影响,而CONUT评分可以准确预测患者的创面修复风险,可以作为临床医生早期评估DFU的可靠参考依据。
Correlation between the Controlling Nutritional Status score and wound repair of diabetic foot ulcer
Objective To investigate the correlation between the Controlling Nutritional Status(CONUT)score and wound repair of diabetic foot ulcer(DFU).Methods A total of 80 DFU pa-tients treated in the Hospital from November 20,2019 to November 20,2022 were randomly selected as the study objects and divided into non-wound repair group(n=47)and wound repair group(n=33)based on wound repair status.Wound repair and hospital stay were recorded;clinical character-istics and the CONUT score were compared between the wound repair group and the non-wound repair group;the influencing factors of DFU wound repair were analyzed by the multivariate Logistic regres-sion model.Results The hospital stay of patients in the non-wound repair group was 16.00(10.50 to 24.00)days,which was significantly shorter than 44.00(31.00 to 61.80)days of patients in the wound repair group(P<0.05).The total cholesterol(TC),ankle-brachial index(ABI),the CO-NUT score,and malnutrition rate of patients in the non-wound repair group were significantly higher than those in the wound repair group(P<0.05).The results of multivariate Logistic regression anal-ysis showed that the CONUT score,malnutrition,TC and ABI were the independent risk factors for wound repair of DFU(P<0.05).Conclusion Malnutrition,ABI,TC and CONUT score in DFU patients can adversely affect wound repair,and the CONUT score can accurately predict the risk of wound repair in patients,serving as a reliable reference for clinicians in early assessment of DFU.

Controlling Nutritional Status scorediabetic foot ulcerwound repaircorrela-tiondiabetes mellitusrisk factors

张蕴鑫、贾伟、程志远、蒋鹏

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首都医科大学附属北京积水潭医院血管外科,北京,100035

控制营养状况评分 糖尿病足溃疡 创面修复 相关性 糖尿病 危险因素

吴阶平医学基金会资助项目

320.675 0.202 1-24-3

2024

实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
年,卷(期):2024.28(16)
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