[糖尿病足溃疡患者截肢相关因素]
[Factors associated with amputation in diabetic patients with foot ulcer].
作者信息
Real Collado J T, Valls M, Basanta Alario M L, Ampudia Blasco F J, Ascaso Gimilio J F, Carmena Rodríguez R
机构信息
Unidad de Referencia de Diabetes, Servicio de Endocrinología y Nutrición, Hospital Clínico Universitario, Departamento de Medicina, Universidad de Valencia.
出版信息
An Med Interna. 2001 Feb;18(2):59-62.
OBJECTIVE
To analyse risk factors for amputation in diabetic foot ulcers.
METHOD
We have studied 152 diabetic patients (in 14 food ulcers treatment was amputation) who were attendance between January 1996 and June 1998 in the diabetic foot Unit. Subjects with gangrene were excluded.
RESULTS
Risk factors for amputation were: previous history of amputation (odds ratio 3.7; 1.0113.7), proliferative retinopathy, osteomielitis, and independently clinical signs of peripheral vasculopathy (7.1; 1.88-27.2) and severe infection (14.4; 2.92-71.2).
CONCLUSION
Diabetic subjects with foot ulcers and previous history of amputation, proliferative retinopathy, osteomielitis, clinical signs of peripheral vasculopathy and/or severe infection were a high risk group for amputation and in this group aggressive therapeutical and preventive approaches should be done in order to prevent amputation.
目的
分析糖尿病足溃疡患者截肢的危险因素。
方法
我们研究了1996年1月至1998年6月期间在糖尿病足病科就诊的152例糖尿病患者（其中14例足部溃疡患者接受了截肢治疗）。排除患有坏疽的患者。
结果
截肢的危险因素包括：既往截肢史（比值比3.7；1.01 - 13.7）、增殖性视网膜病变、骨髓炎，以及独立的外周血管病变临床体征（7.1；1.88 - 27.2）和严重感染（14.4；2.92 - 71.2）。
结论
患有足部溃疡且有既往截肢史、增殖性视网膜病变、骨髓炎、外周血管病变临床体征和/或严重感染的糖尿病患者是截肢的高危人群，对于该群体应采取积极的治疗和预防措施以防止截肢。
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