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<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; text-align: justify; white-space: normal;">　　根据世界卫生组织的定义，糖尿病足(diabetic foot)是指糖尿病患者与局部神经异常和下肢远端周围血管疾病有关的足部感染、溃疡和/或深部组织破坏。它是糖尿病的主要并发症之一，也是糖尿病致残和死亡的重要原因。<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; white-space: normal; text-align: center;"><img class="rich_pages wxw-img js_insertlocalimg" data-ratio="0.24909090909090909" data-s="300,640" src="https://mmbiz.qpic.cn/mmbiz_png/If1VdkRjOvsMdSyQPUzF60tNcNSgicEpTcj0E866Mz8xKwje8hZ5hjteM9U30mHHL24gU9s01tbXC5sicAHoelJQ/640?wx_fmt=png" data-type="png" data-w="550" data-imgqrcoded="1" style="margin: 0px; padding: 0px; max-width: 100%; height: auto !important; vertical-align: bottom;"/><p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; text-align: justify; white-space: normal;">　　糖尿病中年发病率在糖尿病人群中占3%，因此我国每年糖尿病发病率超过300万。观察我科204例糖尿病足溃疡愈合患者，还发现1年、3年和5年累计生存率分别为81.8%、68.2%和57.0%，5年全因死亡率为41.5%。<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; text-align: justify; white-space: normal;">　　5年生存率已经低于很多恶性肿瘤。糖尿病足具有患病率高、危害大、可防可治的特点，所以糖尿病足的防治目标应该是预防为主。<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; text-align: justify; white-space: normal;">　　糖尿病足日常注意事项：<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; text-align: justify; white-space: normal;">　　①保持足部清洁:每天用温水仔细洗脚，洗脚前用手试水温，切记不要烫伤。不要刺激性强的肥皂。洗完之后尽量擦干，吸干趾缝中的适量水分，在鞋跟处涂上油，防止开裂。定期使用酒精对足部进行消毒，尤其是白色霉菌、渗透的脚趾和脚鳞片等，应及时用杀菌剂处理。<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; white-space: normal; text-align: center;"><img class="rich_pages wxw-img" data-galleryid="" data-ratio="0.6507936507936508" data-s="300,640" src="https://mmbiz.qpic.cn/mmbiz_png/If1VdkRjOvsMdSyQPUzF60tNcNSgicEpTdUjmDdVZbwjYTFcWfWTY4djVOAdzo1pr3dXZ6EZz3icVkiaXia27bdWfQ/640?wx_fmt=png" data-type="png" data-w="315" data-imgqrcoded="1" style="margin: 0px; padding: 0px; max-width: 100%; height: auto !important; vertical-align: bottom;"/><p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; text-align: justify; white-space: normal;">　　②每天检查脚部有无肿胀和损伤，注意皮肤的颜色和温度。<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; text-align: justify; white-space: normal;">　　③防止外伤、烫伤、冻伤:注意室内或周围环境的保暖，不要用热水瓶或直火取暖，不要用烤灯。适时修剪脚趾甲:将脚趾甲修剪平整，但不要自己处理脚趾甲，对于边缘无光泽、视力不好的患者。不要自己治疗鸡眼或用自己的刀片割老茧，也不要用腐蚀性药物治疗鸡眼和足底大疱。胫骨前和脚趾间不要过度瘙痒。不要在地毯或沙滩上赤脚行走，也不要在室外道路上赤脚行走，尤其是各种健身场所的鹅卵石路和凹凸不平的石板路。避开人多的地方，包括公交车、地铁、购物场所，防止人误踩。<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; text-align: justify; white-space: normal;">　　④运动时注意足部保健。糖尿病患者，尤其是有糖尿病神经病变的患者，必须穿合适的鞋子。原则是:<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; text-align: justify; white-space: normal;">　　a、合适的尺寸:不小，但也不要太大;<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; text-align: justify; white-space: normal;">　　b、脚掌与脚掌之间没有相对运动，脚掌与地面也没有相对运动;<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; text-align: justify; white-space: normal;">　　c、不要穿大于5cm的高跟鞋(足底压力随体重重心变化，导致受力不均)、过高的厚底鞋(造成身体重心失衡，容易扭伤脚关节)、夹脚拖鞋(造成脚部结构的改变，可能损伤脊椎)、尖头皮鞋(挤压脚趾，导致皮肤溃烂缺血)、超薄平底鞋(缺乏鞋底的缓冲作用，容易损伤脚底)。<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; text-align: justify; white-space: normal;">　　d、鞋面必须有一定的硬度才能起到保护作用;<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; text-align: justify; white-space: normal;">　　e.鞋底要有一定的弧度，但鞋跟不能高。鞋底要有一定的厚度，不能太软;<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; text-align: justify; white-space: normal;">　　f.有合适的鞋垫:有一定厚度，比较柔软;<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; min-height: 1em; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; text-align: justify; white-space: normal;">　　g.穿合适的袜子。