CAJ | 학술논문

目的：探讨并分析2型糖尿病患者并发糖尿病足的情况及其影响因素,旨在为糖尿病足防治提供参考依据。方法选取我院内分泌科2012年6月~2014年6月收治的357例2型糖尿病患者为研究对象,查阅大量参考文献,采用自编问卷收集2型糖尿病患者的临床资料,运用SPSS 19.0统计软件包进行统计分析,寻找2型糖尿病并发糖尿病足发生情况和影响因素。结果2型糖尿病患者糖尿病足发生率为6.44%(23/357﹚。多因素Logistic回归分析显示文化程度高(β=-1.26,P=0.000﹚、糖尿病足相关知识掌握程度(β=-1.44,P=0.000﹚和糖尿病足PDCA循环管理(β=-1.68,P=0.000﹚是2型糖尿病并发糖尿病足的保护因素,糖化血红蛋白异常(β=1.16,P=0.000﹚是2型糖尿病并发糖尿病足的危险因素。结论2型糖尿病并发糖尿病足概率较高,其发生受到多方面因素的影响。在对2型糖尿病患者进行临床治疗过程中应加强健康宣教和血糖监测,优化糖尿病患者的预防措施,有效控制患者的血糖,减少糖尿病足的发生,改善患者的预后。
목적：탐토병분석2형당뇨병환자병발당뇨병족적정황급기영향인소,지재위당뇨병족방치제공삼고의거。방법선취아원내분비과2012년6월~2014년6월수치적357례2형당뇨병환자위연구대상,사열대량삼고문헌,채용자편문권수집2형당뇨병환자적림상자료,운용SPSS 19.0통계연건포진행통계분석,심조2형당뇨병병발당뇨병족발생정황화영향인소。결과2형당뇨병환자당뇨병족발생솔위6.44%(23/357﹚。다인소Logistic회귀분석현시문화정도고(β=-1.26,P=0.000﹚、당뇨병족상관지식장악정도(β=-1.44,P=0.000﹚화당뇨병족PDCA순배관리(β=-1.68,P=0.000﹚시2형당뇨병병발당뇨병족적보호인소,당화혈홍단백이상(β=1.16,P=0.000﹚시2형당뇨병병발당뇨병족적위험인소。결론2형당뇨병병발당뇨병족개솔교고,기발생수도다방면인소적영향。재대2형당뇨병환자진행림상치료과정중응가강건강선교화혈당감측,우화당뇨병환자적예방조시,유효공제환자적혈당,감소당뇨병족적발생,개선환자적예후。
Objective To investigate the diabetic foot occurrence and influence factors of the type 2 diabetes patients in order to provide the reference for the prevention and treatment of diabetic foot. Methods Three hundred and fifty-seven type 2 diabetes patients treated in the endocrinology department of our hospital from June 2012 to June 2014 were chosen as the research objects, the clinical data of them were collected by self-made questionnaire after consult-ing a large number of references. The clinical data was analyzed by descriptive statistics and binary classification logis-tic regression analysis of SPSS19.0 statistical package to find out the occurrence and influence factors of diabetic foot in type 2 diabetes patients. Results The diabetic foot incidence of type 2 diabetes patients was 6.44%(23/357). Multi-ariable Logistic regression analysis revealed that high degree of culture (β=-1.26, P=0.000), the degree of the related knowledge of diabetic foot (β=-1.44, P=0.000) and PDCA cycle management of diabetic foot (β=-1.68, P=0.000) were the postoperative factors of type 2 diabetes patients complicated with diabetic foot, abnormal glycosylated hemoglobin (β=1.16, P=0.000) was a risk factor for type 2 diabetes patients complicated with diabetic foot. Conclusion The diabetic foot incidence of the type 2 diabetes patients is high, it is affected by many factors. In clinical medical process, we should strengthen health education and blood glucose monitoring,and then optimize the prevention countermeasures for diabetes in order to effectively control the patients' blood sugar, reduce the occurrence of diabetic foot and improve the prognosis of patients.