Nutritional Risk Screening And Evaluation Of Patients With Diabetic Foot Ulcer

Objective : By comparing the nutrition indicators between non-diabetic foot(NDF)patients and diabetic foot(DF)patients,In addition,among diabetic foot patients.to provide nutritional support and basis in preventing and delaying the onset of diabetes foot ulcer and clinical progress.Methods:160 hospitalized patients with type 2 diabet who were divided into NDF group and DF group in the first affiliated hospital of fujian Medical University from January 2015 to March 2017 were investigated.we collected their data,including demographic data,correlation factors ofdiabetic foot,laboratory data,And all of the patients using NRS2002 nutrition risk assessment scale for nutritional risk screening,compared nutritional status and risk between NDF patients and DF patients,..in addition,among diabetic foot patients.Result: 1.Of these 160 DM patients,80 were NDF and 80 were DF.And 83 were male and 77 were famale.In NDF group,there were 46 male and 34 famale,The ratio of maleand female was 1:0.73.but in DF group,there were 37 male and 43 famale,The ratio of maleand female was 1:1.16.In our study,there were 50 Patients with nutritional risk.20 in NDF group and 30 in DF group.2.With the increase of level of Wagner,at all levels,the proportion of patients at risk of malnutrition,the level of HDL-Cand Fib were gradually rising,but the level of Hb,Alb,PA,TC,was decreasing.The differences for Hb,ALB,PA,TF,TC,HDL and Fib among the patients with various Wagner classification were significant.Age,Hb,Alb,PA,TC,HDL-Cand Fibwere related with the incidence of DF.As Wagner grade rise,the bacteria detection rate of the secretion which from diabetic foot ulcer was also gradually increasing.Giving priority togram-negative bacteria and mixed bacteria infection.3.Patients with nutritional risk own lower levelof various nutritional indexes than the patient who without nutritional risk,but the bacteria detection rate of the secretion was higher.Giving priority togram-negative bacteria and mixed bacteria infection.the incidence of DF,Age,Hb,Alb,PA,TC,HDL-C,Fiband the bacteria detection rate of the secretion were related with the incidence ofnutritional risk event4..With the level of Hb,ALB,PA and HDL-C decreased,,the proportion of patients at risk of malnutrition and DF,the bacteria detection rate of the secretion,Hb A1 c and Fib level were increasing.The difference among each group was significant.The incidence ofnutritional risk event,Fiband the bacteria detection rate of the secretion were related with the level of Hb.In addition,Age,the incidence ofnutritional risk enent,Hb A1 c,Fiblevel and the bacteria detection rate of the secretion were related with the level of ALB.Besides,Age,the duration of DF,the incidence ofnutritional risk event,Fiblevel and the bacteria detection rate of the secretion were related with the level of PA.Finally,the incidence ofnutritional risk event and DF,Fiblevel and the bacteria detection rate of the secretion were related with the level of HDL-C.5.Logistic regression analysis showed that high level of PA and HDL-C were the protective factors for the incidence of DF,while high level of Fib was risk factor.Conclusion: Nutritional risk and status of DM is correlated with the incidence of DF,High level of PA and high level of HDL-C.Using the means of nutritional assessment and screening for DM patients in the early period of admission,which is beneficial for DM patients to prevent and delay the incidenceand aggravationof DF.