CAJ | 학술논문

目的：分析糖尿病足截肢术围手术期治疗效果。方法选取从2012年8月—2015年8月收治的30例糖尿病足截肢术患者，其中10例女，20例男，年龄为63~85岁，平均为（79.34±10.52）岁；糖尿病病程为5~39年，平均为（16.34±6.33）年；空腹血糖为16.32~5.89mmol/L，平均为（12.34±5.97）mmol/L。均伴有不同程度感染。对患者加强围术期治疗，分析其治疗效果。结果术后1例出现严重心血管并发症，通过抢救，患者病情稳定，该组患者无死亡病例。22例甲级愈合（73.33%），6例乙级愈合（30.00%），2例丙级愈合（6.67%）。结论糖尿病患者常合并各种疾病，糖尿病足属于全身疾病局部表现，不仅要重视手术治疗，还需加强围手术期治疗，提升临床疗效。
목적：분석당뇨병족절지술위수술기치료효과。방법선취종2012년8월—2015년8월수치적30례당뇨병족절지술환자，기중10례녀，20례남，년령위63~85세，평균위（79.34±10.52）세；당뇨병병정위5~39년，평균위（16.34±6.33）년；공복혈당위16.32~5.89mmol/L，평균위（12.34±5.97）mmol/L。균반유불동정도감염。대환자가강위술기치료，분석기치료효과。결과술후1례출현엄중심혈관병발증，통과창구，환자병정은정，해조환자무사망병례。22례갑급유합（73.33%），6례을급유합（30.00%），2례병급유합（6.67%）。결론당뇨병환자상합병각충질병，당뇨병족속우전신질병국부표현，불부요중시수술치료，환수가강위수술기치료，제승림상료효。
Objective To analysis of diabetic foot amputation perioperative treatment effect. Methods From August 2011 to August 2011 were 30 cases of diabetic foot amputation patients, including 10 cases of female, 20 cases were male, age was 63~85 years old, average age (79.34 ±10.52);For 5 years duration of diabetes-39 years, average (16.34±6.33) years; Fast-ing glucose 16.32 tendency tendency for L - 5.89 L, average tendency for L (12.34 ±5.97). With different degree of infec-tion. Strengthen the perioperative treatment for patients, to analyze its therapeutic effect. Results 1 case of severe postoper-ative cardiovascular complications, through the rescue, patients in stable condition, the patients have no deaths. Class a healing in 22 cases (73.33%), 6 cases of serie b healing (30.00%), 2 cases of class c healing (6.67%). Conclusion Patients with diabetes often merge a variety of diseases, diabetic foot belong to the systemic disease, local performance, should not only attach importance to surgery, still need to strengthen the perioperative treatment, improve the clinical curative effect.