result of many factors. Diabetic foot lesions is based on the nerve and vascular disease, infection worse. Diabetic foot disease in a variety of reasons, in
order to facilitate the treatment and care, clinical diabetic foot disease will be divided into six:
0: Skin integrity, no open lesions. Foot ulcers occur mainly in high-risk groups, such as associated with peripheral neuropathy, autonomic neuropathy,
peripheral vascular lesions; elderly; those who live by themselves; blind or severely visually impaired and can not observe their own foot lesions; diabetes
lack of knowledge of persons; sense of missing persons; combined kidney lesions; associated with foot deformities, foot calluses were.
Treatment: regular follow-up, step up publicity and education, prevention of diabetic foot disease.
1: Foot skin ulcers, there is an open lesions, such as blisters, Xuepao, corns or calluses cause frostbite or skin burns and other superficial ulcer not
involving the deep tissue.
Treatment: debridement, removal of all necrotic tissue, preventing the development of ulcers to deep. Proper use of vasodilators, blood circulation drugs,
such as prostaglandin E1 agents, anti-platelet aggregation drugs, to improve microcirculation, reduce blood viscosity, reduce thrombosis and minor seepage;
application of B vitamins, nerve growth factor and other drugs, in order to improve peripheral nerve function.
Level 2: deep penetrating ulcers, often associated with skin and soft tissue infections, more bone-free inflammation.
Treatment: debridement to remove all living tissue loss and comprehensive exposure to the wound, full drainage of pus, antibiotics to control infection.
Large ulcers, severe infections, it is appropriate insulin controls blood sugar, diet appropriate increase in protein quality and attention to blood lipids
and blood pressure control.
Level 3: deep ulcer, often affect the bone tissue, there is deep abscess or osteomyelitis.
Treatment: wide debridement, incision, drainage of purulent organization, for bacteriological culture, the joint application of antibiotics. Hypoproteinemia,
malnutrition, patients should be strengthened to support treatment, if necessary, infusion of plasma, albumin or amino acid solution.
4: ischemic ulcer with gangrene (necrosis), the surface will have infection of necrotic tissue.
Treatment: lower limb vascular occlusion, the hyperbaric oxygen treatment helps to improve the oxygen situation and reduce the edema. Lumen occlusion greater
than 50% of patients, available methods of vascular reconstruction or replacement in order to improve or restore limb blood perfusion index. At present, use
of angioplasty plus autologous bone marrow stem cell transplantation for treatment of diabetic foot disease reported that the method can suffer from foot
grow new blood vessels to replace the already necrotic blood vessels, in order to avoid amputation.
Level 5: gangrene affects the entire foot, all of infection or ischemia, expressed as wet or dry necrosis, often affecting the ankle or leg.
Processing: This stage of serious foot lesions, usually amputation should be implemented. Post-amputation patients in need of rehabilitation as soon as
possible to resume the use of artificial limbs to walk. As the side of the amputation, the other side of the lower extremity ulceration or gangrene of the
possibilities, so patients need to enhance awareness of foot protection.
The performance of diabetic foot lesions varied, treatment and care, each using a different approach, but it is a preventable, treatable disease. I believe
that under the guidance of diabetes specialist in every one of the efforts of diabetes, diabetic foot disease must be able to minimize the harm.
