CAJ | 학술논문

目的：研究不同的降糖策略及清创时机对糖尿病足溃疡预后的影响。方法将42例糖尿病足溃疡患者随机分为快速降糖组及渐进降糖组，比较组间血糖达标时间、低血糖发生率、足溃疡愈合时间的差异。结果两组不同降糖策略下溃疡愈合时间比较差异无统计学意义。与渐进降糖组比较，快速降糖组血糖达标早、低血糖发生频繁。两组患者清创越早，其溃疡愈合时间越短（ P﹤0.05）。结论糖尿病足溃疡患者住院期间降血糖不应苛求血糖达标，应重视避免低血糖的风险，尽早行清创手术。
목적：연구불동적강당책략급청창시궤대당뇨병족궤양예후적영향。방법장42례당뇨병족궤양환자수궤분위쾌속강당조급점진강당조，비교조간혈당체표시간、저혈당발생솔、족궤양유합시간적차이。결과량조불동강당책략하궤양유합시간비교차이무통계학의의。여점진강당조비교，쾌속강당조혈당체표조、저혈당발생빈번。량조환자청창월조，기궤양유합시간월단（ P﹤0.05）。결론당뇨병족궤양환자주원기간강혈당불응가구혈당체표，응중시피면저혈당적풍험，진조행청창수술。
Objective To study the effects of different hypoglycemic strategy and debridement time on diabetic foot ulcer healing after operation. Methods Forty-two patients with diabetic foot ulcer were randomly divided into rapid hypoglycemic group and progressive hypoglycemic group,the differences of the time of blood glucose control,incidence of hypoglycemia,foot ulcer healing time between the two groups were compared. Results The ulcer healing time had no significant difference under different glucose-lowering strategy. Compared with the progressive hypoglycemic group,the time of blood glucose control was early and hypoglycemia occurs frequently in rapid hypoglycemic group(P﹤0. 05). The ulcer healing time was shorter in patients with early debridement. Conclusion The blood glucose should not be reduced to normal levels in patients with diabetic foot ul-cer in hospital,and the risks of hypoglycemia should be avioded. Line debridement surgery should be made as soon as possible.