Pina Elaine, Furtado Katia, Franks Peter J, Moffatt Christine J
Sub-grupo Hospitalar Capucho-Desterro, Lisboa.
Rev Port Cir Cardiotorac Vasc. 2004 Oct-Dec;11(4):217-21.
To determine the prevalence and aetiology of leg ulceration in a population of patients registered with five health centres within Lisbon, a study was undertaken to identify patients receiving care from community and hospital. Identification of patients was through health professionals, with a simple questionnaire completed for all patients identified who were registered with the five health centres. In 263 patients were identified in a population of 186,000 (total prevalence 1.41/1,000 population). The prevalence was similar between men and women (1.3 and 1.46/1,000, respectively). As expected this was highly age dependent, being most common in patients aged over 80 years (6.5 and 4.9/1,000, respectively). The ulceration was highly chronic in nature, with median ulceration of 18 months. Of the 240 with ulcer duration recorded, 158 (66%) had the present ulcer for longer than one year, and 40 (17%) for longer than five years. The cause of ulceration was unknown to the health professional treating the patient in 86 (33%) of the cases. Of those with a cause, most commonly this was venous (80%) with 10% mixed arterial/venous ulceration and 3% frank arterial disease. Most care was provided by community services, with 145 (55%) treated in health centres and 77 (29%) treated in the patient's home. The mean number of treatments per week was 3.0, with 21 (9%) of patients being seen on a daily basis. Most patients (80%) had seen a specialist doctor for their ulceration, most often a dermatologist (48%) and a vascular surgeon (33%). The prevalence of chronic leg ulceration is similar to other reported studies in western Europe, and indicates that approximately 14,000 patients suffer from leg ulceration at any one time in Portugal. This produces a high burden on both hospital and community services.
为确定里斯本五个健康中心登记的患者群体中腿部溃疡的患病率及病因，开展了一项研究以识别接受社区和医院护理的患者。通过健康专业人员识别患者，并为所有在五个健康中心登记的被识别患者填写一份简单问卷。在186,000人的群体中识别出263名患者（总患病率为1.41/1000人口）。男性和女性的患病率相似（分别为1.3和1.46/1000）。正如预期的那样，这与年龄高度相关，在80岁以上患者中最为常见（分别为6.5和4.9/1000）。溃疡本质上具有高度慢性，溃疡中位时长为18个月。在记录了溃疡持续时间的240例患者中，158例（66%）当前溃疡持续时间超过一年，40例（17%）超过五年。在86例（33%）病例中，治疗患者的健康专业人员不清楚溃疡病因。在已知病因的患者中，最常见的是静脉性（80%），10%为动脉/静脉混合性溃疡，3%为单纯动脉疾病。大多数护理由社区服务提供，145例（55%）在健康中心接受治疗，77例（29%）在患者家中接受治疗。每周平均治疗次数为3.0次，21例（9%）患者每天接受诊疗。大多数患者（80%）因溃疡看过专科医生，最常见的是皮肤科医生（48%）和血管外科医生（33%）。慢性腿部溃疡的患病率与西欧其他报道的研究相似，表明在葡萄牙任何时候约有14,000名患者患有腿部溃疡。这给医院和社区服务都带来了沉重负担。
