【摘要】 目的:分析住院糖尿病足患者截肢率与截肢危险因素。方法:2019年2月-2021年6月收治糖尿病足患者60例,以患者是否进行截肢作为分组标准,分为截肢组22例与非截肢组38例。比较两组患者实验室相关指标水平、疾病特征、人口学资料等。以Logistic因素分析法,评价影响住院糖尿病足患者截肢的危险因素。结果:60例患者中,截肢22例(36.7%)。两组患者性别、年龄、文化程度、工作状况、吸烟史、饮酒史等情况比较,差异无统计学意义(P>0.05);而截肢组体重指数低于非截肢组,差异有统计学意义(P<0.05)。经Logistic多因素分析发现,白细胞计数、UT系统分级Ⅱ级及Ⅲ级、钾离子水平、营养状态、糖化白蛋白、溃疡史等为引发住院糖尿病患者截肢的主要危险因素。结论:需要提前了解糖尿病足患者截肢的独立危险因素,尽早进行针对性预防,以此降低截肢率,提高患者生活质量。更多还原

【Abstract】 Objective: To analyze the amputation rate and risk factors of amputation in hospitalized patients with diabetic foot.Methods: From February 2019 to June 2021, 60 patients with diabetic foot were selected, they were divided into the amputation group with 22 cases and the non-amputation group with 38 cases according to whether the patients had amputation. The laboratory-related index levels, disease characteristics, demographic data and so on of patients in the two groups were compared.Logistic factor analysis method was used to evaluate the risk factors affecting amputation in hospitalized patients with diabetic foot.Results: Among the 60 patients, 22 cases(36.7%) were amputated. There was no statistically significant difference between the two groups of patients in gender, age, education level, work status, smoking history, drinking history and so on(P>0.05). The body mass index of the amputation group was lower than that of the non-amputation group, the difference was statistically significant(P<0.05).Logistic multivariate analysis showed that white blood cell count, UT system grade Ⅱ and Ⅲ, potassium level, nutritional status,glycated albumin(GA), ulcer history were the main risk factors for amputation in hospitalized patients with diabetic foot.Conclusion: It is necessary to understand the independent risk factors of amputation in diabetic foot patients in advance, and carry out targeted prevention as soon as possible so as to reduce the rate of amputation and improve the quality of life of patients.更多还原