摘要
目的 对社区糖尿病高危足进行筛查并分析其危险因素.方法 选取 200 例糖尿病患者,均进行信息采集、重点检查、音叉检查及下肢血管病变检查.记录糖尿病患者的筛查结果,分析糖尿病高危足的影响因素.结果 对 200 例糖尿病患者进行踝肱指数(ABI)、足部神经传导筛查后,有 63 例为高危足患者(高危足组),占比 31.50%;非高危足患者(非高危足组)137 例,占比 68.50%.高危足组患者年龄>60 岁、糖尿病病程>10 年、高血压、高血脂、慢性肾病、吸烟占比分别为 66.67%(42/63)、63.49%(40/63)、58.73%(37/63)、55.56%(35/63)、61.90%(39/63)、65.08%(41/63),非高危足组年龄>60 岁、糖尿病病程>10 年、高血压、高血脂、慢性肾病、吸烟占比分别为 38.69%(53/137)、32.85%(45/137)、29.93%(41/137)、35.77%(49/137)、37.23%(51/137)、37.23%(51/137).糖尿病高危足组患者年龄>60 岁、糖尿病病程>10 年、高血压、高血脂、慢性肾病、吸烟占比均高于非高危足组,组间比较有显著差异(P<0.05).糖尿病病程长、高血压、高血脂、年龄大以及吸烟均为糖尿病高危足的独立危险因素(P<0.05).结论 糖尿病高危足是糖尿病患者常见的并发症之一,其发生与多种因素有关.通过加强血糖控制、禁止烟草使用以及定期进行脚部筛查等措施,可以有效预防和控制糖尿病高危足的发生.
Abstract
Objective To screen high-risk foot of diabetes in community and analyze its risk factors.Methods 200 diabetic patients were selected,all of whom underwent information collection,focused examination,tuning fork examination and lower limb vascular lesion examination.The screening results of diabetic patients were recorded and the factors affecting high-risk foot of diabetes were analyzed.Results Sereening of 200 diabetic patients for ankle-brachial index(ABI)and foot nerve conduction,63 patients had high-risk foot(high-risk foot group),accounting for 31.50%,and 137 patients had non-high-risk foot(non-high-risk foot group),accounting for 68.50%.In the high-risk foot group,the percentages of patients>60 years of age,diabetes duration>10 years,hypertension,hyperlipidemia,chronic renal disease,and smoking were 66.67%(42/63),63.49%(40/63),58.73%(37/63),55.56%(35/63),61.90%(39/63),and 65.08%(41/63);in the non-high-risk foot group,the percentages of patients>60 years of age,diabetes duration>10 years,hypertension,hyperlipidemia,chronic renal disease,and smoking were 38.69%(53/137),32.85%(45/137),29.93%(41/137),35.77%(49/137),37.23%(51/137),and 37.23%(51/137).The percentages of patients>60 years of age,diabetes duration>10 years,hypertension,hyperlipidemia,chronic renal disease,and smoking in the high-risk foot group were higher than those of non-the high-risk foot group,and there were significant differences between groups(P<0.05).The long diabetes duration,hypertension,hyperlipidemia,older age and smoking were independent risk factors for high-risk foot of diabetes(P<0.05).Conclusion High-risk foot of diabetes is one of the common complications of diabetes patients,and its occurrence is related to many factors.The occurrence of high-risk foot of diabetes can be effectively prevented and controlled by strengthening blood glucose control,banning tobacco use and regular foot screening.
基金项目
广州市卫生健康科技项目(205040640034)
维普
万方数据