糖尿病合併足部潰瘍患者之營養評估及介入

糖尿病合併足部潰瘍患者之營養評估及介入



觀察時間太短、收集人數不足及個體的差異性等。

The evaluation & intervention of nutrition in diabetic patients with foot ulcer



Diabetic patients are susceptible to peripheral vascular and neurological co

mplications due to long term poor blood glucose control. Injuried wounds i

n such patients are difficult in healing, which is the most common etiology

resulting in amputation. Accoring to prior studies, there are close relations

between wound healing, nutritional status and protein intake. The major pu

rpose of this study is to monitor the nutritional status in diabetic patients co

mbined with foot ulcer, followed by the nutritional influence in patients rec

eived below-knee amputation with further 16 grams protein supply in addit

ion to general diet. The result disclosed the indicators for the nutritional sta

tus in diabetic patients combined with foot ulcer, including hemoglobin, al

bumin, prealbumin and transferrin, were all below reference level, as well

as zinc, the nutrient that associate with wound healing. In patients received

below-knee amputation with additional 16 grams protein supply, the nutriti

onal status before and after the surgery has a trend toward improve but no s

tatistic difference. The possible explanation may be insufficient supplemen

t, short follow up period, low patient numbers and the individual difference

s.