Clinical application and effect evaluation of endovascular interventional therapy in diabetic foot

Abstract

Objective To evaluate the clinical application and efficacy of endovascular interventional therapy in diabetic foot. Methods Fifty diabetic patients admitted to our hospital from March 2016 to June 2017 were randomly divided into control group (26 cases) and interventional group (24 cases). The control group was administrated with comprehensive internal medicine treatment, and extra endovascular interventional therapy was added to the intervention group. Results The total remission rate in the intervention group was significantly higher than that in the control group [91.6% (22/24) vs 53.8%(14/26), χ2=8.854, P=0.002]. The healing time of ulcer in the intervention group was significantly lower than that in the control group [ (48±10) vs (91±9) d, t=3.285, P<0.05], and the length of hospital stay was lower than that in the control group [ (22±4) vs (38±4) d, t=3.521, P<0.05]. The clinical symptom scores of all patients were improved after treatment, and it was better in the intervention group than that in the control group [ (3.5±1.5) vs (11.8±2.3) point, P<0.05]. The patients in the intervention group were followed up for 1 month, 3 months and 6 months. The proportion of moderate and severe numbness, pain and low skin temperature were lower than those before operation, the ankle brachial index was higher than that before operation (all P<0.05). Conclusions The effect of interventional treatment of ischemic artery in patients with diabetic foot is definite. The clinical symptoms of the patient are improved obviously. The ulcer is relieved effectively, the complications of operation are few, and it is worthy of clinical application. Key words: Diabetic foot; Vascular disease; Endovascular intervention; Ankle brachial index; Ulcer remission