Saturday, December 26, 2009

Necrosis of the focus of diabetic foot care

According to national data show that diabetic patients with foot necrosis occurred 17 times the non-diabetic patients, accounting for 66% of patients with

amputation, diabetes is a serious threat to the health of one of the serious complications. The treatment of diabetic foot necrosis alone is not enough to

improve the care that will make the treatment reaches the multiplier effect. Care for diabetic foot necrosis focus in the following areas.

Local treatment: First, pus should be collected and sent to bacterial culture and sensitivity test in order to select sensitive to antibiotics. For the foot

of necrotic tissue should be phased-graded removed and the incision wound drainage in order to maintain smooth. Infected wounds have to use 0.1%

chlorhexidine and 3% hydrogen peroxide scrub, daily dressing 1 for non-infectious small trauma is no exception. Topical application of 654-2

microcirculation. Peacetime should Taigaohuanzhi to facilitate blood return.

Keep feet clean: Diabetic foot acral necrosis occurs in patients with pain, temperature perception barriers, is appropriate to warm their feet every night

before bed (non-affected side), water temperature should not be high, every 10-15 minutes, after washing to toe clearance at soft dry. 1 times per week

should be nails to prevent scratching the skin infection.

Diet Care: According to the patient's ideal body weight to calculate the daily total calories, diabetic foot infection in patients with necrosis of a large

consumption and heat should be properly increased 10% -20%, while according to patients with eating habits, so that diverse recipes. To regularly

quantitative meal insulin injections are even more so.

Psychological Care: Diabetic patients with foot gangrene accompanied by stench, often inferiority In addition, some people were hospitalized longer, easy to

produce anxiety. Their families and doctors should be more comfort, encourage, timely dispersal, in which patients state of mind and stability, with the

treatment.