Clinical analysis of 80 cases with diabetic foot in the elderly / 中华老年医学杂志

ABSTRACT

Objective To explore the onset incentives, clinical features, treatment and prognosis of diabetic foot. Methods The clinical data of 80 patients with diabetic foot from January 2000 to October 2009 were analyzed retrospectively. Results The 53 cases had bacterial infection.Thirty cases had severe lower limb arterial stenosis or occlusion (stenosis rate ＞70%). And iliac arteries of 5 cases and popliteal arteries of 4 cases were completely occluded. Sixty-five cases had diabetic peripheral neuropathy. Seventy two cases had clear incentive. Forty 40 cases recovered, 20 cases were amputated, 12 cases were discharged without cure, and 8 cases died. Conclusions Most of the occurrences of diabetic foot have incentives. Prognosis and degree of lower limb arterial occlusion are significantly correlated. Infection and the severity of other underlying diseases are associated with the prognosis. The diabetic patients should be treated comprehensively including controlling blood sugar, anti-infection, improving lower limb blood supply, nurturing nerve and local treatment.