CAJ | 학술논문

目的：分析老年糖尿病足合并骨髓炎的临床特点和治疗情况。方法选择2010年1月至2012年12月中山市陈星海医院收治的10例老年糖尿病足合并骨髓炎患者，分为截肢组和非截肢组，回顾性分析其临床特征与截肢与否的关系。结果10例患者中截肢4例，截肢率为40%。与未截肢组患者相比，截肢组的外周血管狭窄程度、切口感染情况更严重。结论老年糖尿病足合并骨髓炎住院患者有很高的截肢率，积极控制血糖，彻底清创、抗感染、多科协作治疗是避免糖尿病足患者截肢的关键。
목적：분석노년당뇨병족합병골수염적림상특점화치료정황。방법선택2010년1월지2012년12월중산시진성해의원수치적10례노년당뇨병족합병골수염환자，분위절지조화비절지조，회고성분석기림상특정여절지여부적관계。결과10례환자중절지4례，절지솔위40%。여미절지조환자상비，절지조적외주혈관협착정도、절구감염정황경엄중。결론노년당뇨병족합병골수염주원환자유흔고적절지솔，적겁공제혈당，철저청창、항감염、다과협작치료시피면당뇨병족환자절지적관건。
Objective To analyze the clinical characteristics and treatment of diabetic foot( DF)combined with osteomyelitis in elderly patients. Methods A total of 10 consecutive patients aged≥60 years with DF were included from January 2010 to De-cember 2012. According to whether underwent amputation in hospital,the patients were divided into amputation group(n=4) and non amputation group(n=6). Results Four patients(40%)underwent amputation. Higher prevalence of peripheral vascular disease and more serious infection were found in amputation group compared with the non-amputation group. Conclusion The eld-erly patients with DF combined with osteomyelitis have high rate of amputation in hospital. Actively controlling blood glucose,ear-lier and interdisciplinary treatment are critical for avoiding amputation.