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目的:探讨糖尿病足的发病特点,寻找糖尿病足患者所存在的共同中医病理机制及其中医治疗特点。方法:对2007～2009年本科收治的100例糖尿病足患者的一般情况及治疗转归等进行分析归纳,总结对糖尿病足治疗的有益措施。结果:100例患者中,下肢血管病变及神经病变者接近50%,合并糖尿病肾病者达42%。从总体来看,截肢率达10%,但2004、2005、2006年截肢率分别为20%、13.6%、3%,呈逐年下降趋势。结论:糖尿病足以阴阳气血不足为本,以湿热浊毒为标,脾肾两虚、瘀血阻络贯穿始终。治疗上需标本兼顾、有所侧重、突出重点。对截肢与否的正确评价是减少截肢率及死亡率的重要环节。
Objective: To investigate the incidence of diabetic foot characteristics, looking for the existence of diabetic foot patients with common Chinese pathology and TCM treatment characteristics. Methods: The general situation and treatment outcome of 100 cases of diabetic foot admitted from 2007 to 2009 were analyzed and summarized, and the beneficial measures for the treatment of diabetic foot were summarized. Results: Of the 100 patients, nearly 50% of the patients had lower extremity vascular lesions and neuropathy, and 42% had diabetic nephropathy. Overall, the amputation rate reached 10%, but the amputation rates in 2004, 2005 and 2006 were 20%, 13.6% and 3%, respectively, showing a declining trend year by year. Conclusion: Diabetic foot yin and yang enough blood-based, with dampness cloud of toxic as the standard, spleen and kidney deficiency, blood stasis throughout. Need to take both the treatment of the case, have focused, focus. Correct evaluation of amputation is an important part of reducing amputation and mortality.