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<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" font-size:="" letter-spacing:="" text-align:="" white-space:="" background-color:="" visibility:="" box-sizing:="" border-box="" overflow-wrap:="" break-word="">       近期患者咨询：糖尿病一定会出现糖尿病足吗？其实这个问题经常都会有患者或者家属咨询，《中国2型糖尿病防治指南（2020版）》指出，我国糖尿病患病率上升至11.2%，也就是说我国现有超过1亿的糖尿病患者。另外，我国糖尿病足的终身发病率为30%，也就是说，30%的糖尿病患者在患病之后的生命中，都有可能出现糖尿病足。<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" font-size:="" letter-spacing:="" text-align:="" white-space:="" background-color:="" visibility:="" box-sizing:="" border-box="" overflow-wrap:="" break-word=""><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" letter-spacing:="" visibility:="" box-sizing:="" border-box="" overflow-wrap:="" break-word="">       所以有很多朋友担心这个问题是正常的，甚至有朋友问说我得了心脏病也不要得这种病，打胰岛素可以吗？每天烧香拜佛、做好人好事可以吗？其实我们首先要确定一个问题，就是糖尿病足并不是每个糖尿病患者都会出现的，我们要了解它的根本病因，并且得到正确的预防。<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" font-size:="" letter-spacing:="" text-align:="" white-space:="" background-color:="" visibility:="" box-sizing:="" border-box="" overflow-wrap:="" break-word=""><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" font-weight:="" letter-spacing:="" visibility:="" box-sizing:="" border-box="" overflow-wrap:="" break-word="">       “糖尿病足的病因主要有两个，第一个是下肢血管病变，第二个是下肢神经病变。”成都川蜀血管病医院医生介绍。<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" font-size:="" letter-spacing:="" text-align:="" white-space:="" background-color:="" visibility:="" box-sizing:="" border-box="" overflow-wrap:="" break-word="">一、下肢血管病变<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" font-size:="" letter-spacing:="" text-align:="" white-space:="" background-color:="" visibility:="" box-sizing:="" border-box="" overflow-wrap:="" break-word=""><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" letter-spacing:="" visibility:="" box-sizing:="" border-box="" overflow-wrap:="" break-word="">       糖尿病患者在长期高血糖的影响下，下肢微小血管会出现硬化、狭窄甚至闭塞，也就是医学上说的下肢动脉病变。这种病变在糖尿病患者中的发生几率是非糖尿病患者中的2倍，而且糖尿病患者的这种病变更容易累及小腿的中小动脉血管。<span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 14px; color: rgb(255, 76, 65); visibility: visible;">正是这种病变导致了足部供血不足，表现为下肢发冷、疼痛、皮肤变薄、趾甲增厚、汗毛脱落等，当“糖友们”出现以上症状时就要引起高度重视了。<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" font-size:="" letter-spacing:="" text-align:="" white-space:="" background-color:="" box-sizing:="" border-box="" overflow-wrap:="" break-word="">二、下肢神经病变<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" font-size:="" letter-spacing:="" text-align:="" white-space:="" background-color:="" box-sizing:="" border-box="" overflow-wrap:="" break-word=""><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" letter-spacing:="" box-sizing:="" border-box="" overflow-wrap:="" break-word="">       由于长期暴露在下肢缺血和高血糖状态，足部神经会受损逐渐产生病变。表现为肢体麻木、感觉减退等，患者会察觉不到足皮肤发生外伤时的疼痛，甚至将脚放进开水中都完全感受不到。同时神经病变还会导致足畸形的发生，如弓形足、爪型趾等，异常的足形态会导致行走站立时局部皮肤磨损严重，最终导致皮肤破损发生溃疡。<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" font-size:="" letter-spacing:="" text-align:="" white-space:="" background-color:="" box-sizing:="" border-box="" overflow-wrap:="" break-word=""><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" letter-spacing:="" box-sizing:="" border-box="" overflow-wrap:="" break-word="">       还有一类患者的神经病变还会表现为足痛觉过敏，如皮肤针刺样疼痛、烧灼样、蚁行感、夜间加重，活动后可稍有缓解，这类患者长期受到神经痛的困扰，严重的甚至难以入睡，严重影响生活质量。<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" font-size:="" letter-spacing:="" text-align:="" white-space:="" background-color:="" box-sizing:="" border-box="" overflow-wrap:="" break-word=""><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" letter-spacing:="" box-sizing:="" border-box="" overflow-wrap:="" break-word="">       糖尿病患者在下肢血管病变和下肢神经病变的状态下，一旦足皮肤发生破损、感染形成溃疡后，贫瘠的下肢血流将无法顺利帮助机体抵御感染的蔓延，也无法帮助组织进行有效修复，感染坏死会逐渐扩大，这种恶性循环会导致截肢的风险大大增加，就像遭受外力破坏的树枝无法得到树根的滋养而渐渐枯死。所以若想预防糖尿病足的发生，应做到以下事项：<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" font-size:="" letter-spacing:="" text-align:="" white-space:="" background-color:="" box-sizing:="" border-box="" overflow-wrap:="" break-word="">1. 做好足部检查工作。每日须仔细检查脚上是否有细微的损伤，如擦伤、裂伤、水疱等，要特别注意检查脚趾缝及脚底；<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" font-size:="" letter-spacing:="" text-align:="" white-space:="" background-color:="" box-sizing:="" border-box="" overflow-wrap:="" break-word="">2. 要穿宽松、底厚的鞋子，女士避免穿高跟鞋，保持鞋子干燥，可几双鞋轮换穿；<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" font-size:="" letter-spacing:="" text-align:="" white-space:="" background-color:="" box-sizing:="" border-box="" overflow-wrap:="" break-word="">3. 每日用温水洗脚，请勿热水烫脚；<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" font-size:="" letter-spacing:="" text-align:="" white-space:="" background-color:="" box-sizing:="" border-box="" overflow-wrap:="" break-word="">4. 保持足部透气、干燥，预防脚癣，一旦发现脚癣，第一时间治疗；<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" font-size:="" letter-spacing:="" text-align:="" white-space:="" background-color:="" box-sizing:="" border-box="" overflow-wrap:="" break-word="">5. 预防冻伤；<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" font-size:="" letter-spacing:="" text-align:="" white-space:="" background-color:="" box-sizing:="" border-box="" overflow-wrap:="" break-word="">6. 修剪指甲、胼胝或鸡眼时要严防损伤；<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" font-size:="" letter-spacing:="" text-align:="" white-space:="" background-color:="" box-sizing:="" border-box="" overflow-wrap:="" break-word="">7.戒烟禁酒；<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" font-size:="" letter-spacing:="" text-align:="" white-space:="" background-color:="" box-sizing:="" border-box="" overflow-wrap:="" break-word="">8. 注意个人卫生，勤换鞋袜；<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" font-size:="" letter-spacing:="" text-align:="" white-space:="" background-color:="" box-sizing:="" border-box="" overflow-wrap:="" break-word="">9. 避免甲沟炎、脚气继发感染的发生；<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" font-size:="" letter-spacing:="" text-align:="" white-space:="" background-color:="" box-sizing:="" border-box="" overflow-wrap:="" break-word="">10. 不要去没有资质的场所修脚；<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" font-size:="" letter-spacing:="" text-align:="" white-space:="" background-color:="" box-sizing:="" border-box="" overflow-wrap:="" break-word="">11. 一旦足部出现损伤，尽早就医，切忌自行应用刺激性消毒液（如碘酒等）清洁伤口。<p style="margin-top: 0px; margin-bottom: 24px; padding: 0px; outline: 0px; max-width: 100%; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" font-size:="" letter-spacing:="" text-align:="" white-space:="" background-color:="" box-sizing:="" border-box="" overflow-wrap:="" break-word=""><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, " helvetica="" pingfang="" hiragino="" sans="" microsoft="" yahei="" letter-spacing:="" box-sizing:="" border-box="" overflow-wrap:="" break-word="">       成都川蜀血管病医院温馨提醒您：糖尿病患者要有意识地区别发生下肢血管病变和神经病变时释放出的信号，由于患者的不重视或者早期症状不明显，所以绝大部分患者并不会主动就诊。这就造成了很多患者直到发生了严重感染或坏疽后，通过检查才知道自己早已经发生了严重的下肢动脉病变，因为发现的很晚，往往最终治疗起来更加困难。