ObjectiveTo explore the related influencing factors of the severity of diabetic foot(Wagner classification).

MethodsThe relevant data of 305 hospitalized patients with diabetic foot were analyzed.According to Wagner's classification, grade 1 in 81 cases, grade 2 in 62 cases, grade 3 in 82 cases, grade 4 in 72 cases and grade 5 in 8 cases were identified.The factors influencing Wagner classification of diabetic foot were analyzed.

ResultsThe higher the Wagner classification of diabetic foot patients was, the larger the maximum ulcer area was(P < 0.05), the higher the levels of neutrophils, uric acid and hypersensitive C-reactive protein were (P < 0.05 to P < 0.01), the lower the levels of hemoglobin and albumin were (P < 0.05 and P < 0.01), and the higher the frequency of diabetic peripheral neuropathy was (P < 0.05).The results of Spearman grade analysis showed that the degree of Wagner classification was positively correlated with the peripheral neuropathy, maximum ulcer area, neutrophil count and uric acid level, and negatively correlated with the levels of hemoglobin and albumin.

ConclusionsFor diabetic foot patients, actively controlling infection, reducing uric acid level, treating neuropathy and maintaining a good nutritional status can prevent further progress of the disease.