Retrospective Study Of Multidisciplinary Team For Diabetic Foot

Objective:This study was designed to retrospectively analyze the clinical data of patients with diabetic foot in the First Affiliated Hospital of Nanchang University,and to explore the therapeutic effect of Multidisciplinary Team(MDT)on diabetic foot.Methods:Data were collected from 169 patients with diabetic foot admitted to the Department of Burns,the First Affiliated Hospital of Nanchang University from January 2014 to December 2018.According to whether they received MDT treatment during hospitalization,they were divided into 81 cases of MDT group and 88 cases of non-MDT group.All patients completed routine examination after admission.The number of operations,the rate of toe(limb),the time of wound healing,the number of hospital stays,the hospitalization cost,the positive rate of wound bacteria,the wound healing in different time periods,and the second postoperative operation were analyzed.Statistical analysis was performed on the second results of white blood cells,red blood cells,hemoglobin,albumin,C-reactive protein,erythrocyte sedimentation rate,total cholesterol,triglyceride and low-density lipoprotein.Results:Of the 169 patients,75 were cured,73 were improved,18 were unhealed,and 3 died.The number of wound operation in MDT group was 2.37±1.67 times,in non-MDT group was 3.36±2.07 times(t=1.186,P<0.05);the rate of toe(limb)amputation in MDT group was 17.28% and 37.50% in non-MDT group(P<0.05);hospitalization days in the MDT group were 34.23±6.36 days,in the non-MDT group were 43.54±7.33 days(t=2.537,P<0.05);hospitalization expenses in the MDT group were 4.28±3.88 million,and non-MDT group hospitalization expenses 6.11±3.81 million(t=2.851,P<0.05);94 cases of 169 diabetic foot disease were positive for pathogen culture,mainly Gram-negative bacteria,accounting for 63.8%(60/94),Gram Positive bacteria accounted for 31.9%(30/94)and fungi accounted for 4.3%(4/94).The recurrence rate was 4.63% in the MDT group and 12.53% in the non-MDT group(P<0.05).The statistical analysis showed that the P values in both groups were less than 0.05,which was statistically significant.Conclusion:Diabetic foot treatment by MDT can effectively control wound infection,reduce the number of dressing changes,reduce the amputation rate,shorten hospitalization time and the cost,improve patient prognosis and improve patients' quality of life.It is a new and efficient diagnosis and treatment model which is worth promoting.