仪陇县人民医院. 发表于 2023-12-26 15:32:18

【健康科普】糖尿病足,伤不起的狠“脚”色!

<!----><style type="text/css">html{font-size:375%}</style><link href="https://pic.app.yilongnews.com/static/publish/css/style.css?v=1605251010499" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=1605251010499"><!--    付费贴-->    <div class="preview_article ">            <!---->    <p style="font-weight: 400;">糖尿病并不可怕</p><p style="font-weight: 400;">可怕的是糖尿病并发症</p><p style="font-weight: 400;">千里之行,始于足下</p><p style="font-weight: 400;">糖尿病足</p><p style="font-weight: 400;">作为糖尿病最严重并发症之一</p><p style="font-weight: 400;">日常保健你做对了吗?</p><p style="font-weight: 400;">一起来了解糖尿病足的相关知识吧</p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.yilongnews.com/forum/20231226152447front1_0_430595_Fql6XN82bI-Qw-rF8trjFcK1sylw.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZrXzZPVWNxSkppbDBhaEdkN0FoOUR6bk9RNXEucG5n/dissolve/40/gravity/SouthEast" alt="" width="640" height="355" data-qf-origin="forum/20231226152447front1_0_430595_Fql6XN82bI-Qw-rF8trjFcK1sylw.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZrXzZPVWNxSkppbDBhaEdkN0FoOUR6bk9RNXEucG5n/dissolve/40/gravity/SouthEast" /></p><p>一、糖尿病足的概述</p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.yilongnews.com/forum/20231226152519front1_0_430595_Fr8PW0MpncQbXuaE6NbcjYNYI73Z.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZrXzZPVWNxSkppbDBhaEdkN0FoOUR6bk9RNXEucG5n/dissolve/40/gravity/SouthEast" alt="" width="610" height="657" data-qf-origin="forum/20231226152519front1_0_430595_Fr8PW0MpncQbXuaE6NbcjYNYI73Z.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZrXzZPVWNxSkppbDBhaEdkN0FoOUR6bk9RNXEucG5n/dissolve/40/gravity/SouthEast" /></p><p style="font-weight: 400;">(1)糖尿病足的流行病学?</p><p style="font-weight: 400;">&nbsp; &nbsp; &nbsp; 全球糖尿病足溃疡患病率为 6.3%;国内糖尿病患者1 年内新发溃疡发生率为8.1%,愈合足溃疡1年内再发率31.6%,截肢率27.3%,截肢后5年死亡率高达40%。&nbsp;</p><p style="font-weight: 400;">(2)什么是糖尿病足?</p><p style="font-weight: 400;">&nbsp; &nbsp; &nbsp; 糖尿病足是一种足部综合征,它至少应具备三要素:糖尿病患者、伴有下肢神经或血管病变、有踝以下组织缺损或病变(溃疡或坏疽)</p><p style="font-weight: 400;">三者缺一不可,否则不能称为糖尿病足。</p><p style="font-weight: 400;">(3)糖尿病足有哪些症状呢?</p><p style="font-weight: 400;">&nbsp; &nbsp; &nbsp; 早期症状为神经或血管病变引起的相应症状,如:下肢麻木,感觉减退或消失、对温度感觉异常、皮肤干燥、弹性差、皮肤温度下降、色素沉着,患者未能及时有效控制或对症状进行处理,将会进一步进展为糖尿病足部溃疡或坏疽,且伤口不易愈合。</p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.yilongnews.com/forum/20231226152558front1_0_430595_Fs_v9Vtw2yfABIqxUMGvhHS0xQHe.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZrXzZPVWNxSkppbDBhaEdkN0FoOUR6bk9RNXEucG5n/dissolve/40/gravity/SouthEast" alt="" width="398" height="291" data-qf-origin="forum/20231226152558front1_0_430595_Fs_v9Vtw2yfABIqxUMGvhHS0xQHe.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZrXzZPVWNxSkppbDBhaEdkN0FoOUR6bk9RNXEucG5n/dissolve/40/gravity/SouthEast" /></p><p>(4)糖尿病足Wagner分级(分级明确有助于治疗)</p><p class="empty_paragraph">&nbsp;</p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.yilongnews.com/forum/20231226152625front1_0_430595_Fuah-Keybd6hAD2sw5jyexWAeRP8.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZrXzZPVWNxSkppbDBhaEdkN0FoOUR6bk9RNXEucG5n/dissolve/40/gravity/SouthEast" alt="" width="592" height="248" data-qf-origin="forum/20231226152625front1_0_430595_Fuah-Keybd6hAD2sw5jyexWAeRP8.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZrXzZPVWNxSkppbDBhaEdkN0FoOUR6bk9RNXEucG5n/dissolve/40/gravity/SouthEast" /></p><p>二、哪些人容易发生糖尿病足</p><p>(1)糖尿病足溃疡的危险因素</p><p class="empty_paragraph">&nbsp;</p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.yilongnews.com/forum/20231226152715front1_0_430595_Fg0EKXh78MZu475172kmbjNlWcdE.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZrXzZPVWNxSkppbDBhaEdkN0FoOUR6bk9RNXEucG5n/dissolve/40/gravity/SouthEast" alt="" width="1016" height="315" data-qf-origin="forum/20231226152715front1_0_430595_Fg0EKXh78MZu475172kmbjNlWcdE.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZrXzZPVWNxSkppbDBhaEdkN0FoOUR6bk9RNXEucG5n/dissolve/40/gravity/SouthEast" /></p><p>(2)糖尿病足溃疡发生的其他高危因素</p><p class="empty_paragraph">&nbsp;</p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.yilongnews.com/forum/20231226152745front1_0_430595_Fg0EKXh78MZu475172kmbjNlWcdE.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZrXzZPVWNxSkppbDBhaEdkN0FoOUR6bk9RNXEucG5n/dissolve/40/gravity/SouthEast" alt="" width="1016" height="315" data-qf-origin="forum/20231226152745front1_0_430595_Fg0EKXh78MZu475172kmbjNlWcdE.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZrXzZPVWNxSkppbDBhaEdkN0FoOUR6bk9RNXEucG5n/dissolve/40/gravity/SouthEast" /></p><p class="empty_paragraph">&nbsp;</p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.yilongnews.com/forum/20231226152849front1_0_430595_FhYtZwpZ3T_P3IhbojA4OvSwmfD-.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZrXzZPVWNxSkppbDBhaEdkN0FoOUR6bk9RNXEucG5n/dissolve/40/gravity/SouthEast" alt="" width="596" height="244" data-qf-origin="forum/20231226152849front1_0_430595_FhYtZwpZ3T_P3IhbojA4OvSwmfD-.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZrXzZPVWNxSkppbDBhaEdkN0FoOUR6bk9RNXEucG5n/dissolve/40/gravity/SouthEast" /></p><p class="empty_paragraph">&nbsp;</p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.yilongnews.com/forum/20231226152745front1_0_430595_Fnn6IV7yhv1DPfY34MMr35zS2Lv0.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZrXzZPVWNxSkppbDBhaEdkN0FoOUR6bk9RNXEucG5n/dissolve/40/gravity/SouthEast" alt="" width="1122" height="284" data-qf-origin="forum/20231226152745front1_0_430595_Fnn6IV7yhv1DPfY34MMr35zS2Lv0.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZrXzZPVWNxSkppbDBhaEdkN0FoOUR6bk9RNXEucG5n/dissolve/40/gravity/SouthEast" /></p><p>三、糖尿病足日常保健的正确做法</p><p style="font-weight: 400;">①足部自我保健:洗、查、涂、摩、动</p><p style="font-weight: 400;">&nbsp; &nbsp; &nbsp; 洗:采用正确的方法洗脚,水温<37℃,不要用脚试水温;</p><p style="font-weight: 400;">&nbsp; &nbsp; &nbsp; 时间:5&mdash;10分钟/次/天,不要过分浸泡双脚;</p><p style="font-weight: 400;">&nbsp; &nbsp; &nbsp; 用物:浅色毛巾,擦干趾间水分。</p><p class="empty_paragraph">&nbsp;</p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.yilongnews.com/forum/20231226152920front1_0_430595_FlBFtkP4dJBUE5j882izC-CwSmwp.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZrXzZPVWNxSkppbDBhaEdkN0FoOUR6bk9RNXEucG5n/dissolve/40/gravity/SouthEast" alt="" width="562" height="324" data-qf-origin="forum/20231226152920front1_0_430595_FlBFtkP4dJBUE5j882izC-CwSmwp.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZrXzZPVWNxSkppbDBhaEdkN0FoOUR6bk9RNXEucG5n/dissolve/40/gravity/SouthEast" /></p><p style="font-weight: 400;">②足部自我保健:洗、查、涂、摩、动</p><p style="font-weight: 400;">&nbsp; &nbsp; &nbsp; 查:检查鞋、袜、足部皮肤;</p><p style="font-weight: 400;">&nbsp; &nbsp; &nbsp; 每天检查鞋子:检查鞋内是否有异物;</p><p style="font-weight: 400;">&nbsp; &nbsp; &nbsp; 每天检查袜子:袜子需保持干燥、透气,应选择无接缝、不粗糙、无破洞的白色或浅色的棉袜;</p><p style="font-weight: 400;">&nbsp; &nbsp; &nbsp; 每天检查足:每天检查足部是否有损伤、水泡、颜色、红肿、出血、溃疡。</p><p style="font-weight: 400;">③足部自我保健:洗、查、涂、摩、动</p><p style="font-weight: 400;">&nbsp; &nbsp; &nbsp; 涂:对于足部干燥者,可以涂抹皮肤润肤霜;</p><p style="font-weight: 400;">&nbsp; &nbsp; &nbsp; 注意:不要涂抹于趾间或溃疡处;</p><p style="font-weight: 400;">&nbsp; &nbsp; &nbsp; 严重的足跟皲裂,可以使用含尿素的特殊润肤霜。</p><p>④足部自我保健:洗、查、涂、摩、动</p><p>&nbsp; &nbsp; &nbsp; 摩:适当按摩足部,动作轻柔、避免搓、捏等损伤性动作。</p><p>&nbsp; &nbsp; &nbsp; ⑤足部自我保健:洗、查、涂、摩、动</p><p>&nbsp; &nbsp; &nbsp; 动:足部运动方式:行走运动、提脚跟-脚尖运动、弯膝下蹲运动、甩腿运动、蹬车</p><p>&nbsp; &nbsp; &nbsp; 运动前后检查足部有无水泡、破损</p><p>&nbsp; &nbsp; &nbsp; ⑥正确修剪趾甲</p><p>&nbsp; &nbsp; &nbsp; 精心修剪趾甲,确保眼睛能看见;</p><p>&nbsp; &nbsp; &nbsp; &ldquo;&mdash;&rdquo;字形修剪平整,搓圆边角尖锐部位;</p><p>&nbsp; &nbsp; &nbsp; 不要剪得太短,短过趾尖。</p><p style="fot-weight: 400;">&nbsp; ⑦选择舒适的鞋</p><p style="font-weight: 400;">&nbsp; &nbsp; &nbsp; 宽而深的鞋头、厚底、面料透气、低矮的鞋腰;</p><p style="font-weight: 400;">禁忌:尖头鞋、高跟鞋、露趾鞋</p><p>⑧糖尿病患者冬日足部保健七不要:</p><p>&nbsp; &nbsp; &nbsp; 不要用热水袋或电热器直接取暖;</p><p>&nbsp; &nbsp; &nbsp; 不要烤火;</p><p>&nbsp; &nbsp; &nbsp; 不要热水烫脚;</p><p>&nbsp; &nbsp; &nbsp; 不要盘腿坐;</p><p>&nbsp; &nbsp; &nbsp; 不要跷二郎腿;</p><p>&nbsp; &nbsp; &nbsp; 不要赤脚行走;</p><p>&nbsp; &nbsp; &nbsp; 不要吸烟。</p><p>&nbsp; &nbsp; &nbsp; ⑨出现这些情况要到正规医院就医</p><p>&nbsp; &nbsp; &nbsp; 如果出现水疱、陷甲、足癣、甲沟炎、鸡眼、胼胝、皮肤破损等,不要自行处理伤口,一定要到正规医院就医。</p><p class="">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;供稿:仪陇县人民医院 黎亚明</p><p class="">&nbsp;</p>    <!----></div>            

王老师123 发表于 2024-1-6 08:58:10

长知识了啊!!!!
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