Pavlov Iu I
Vestn Khir Im I I Grek. 2007;166(5):28-31.
In the city of Chelyabinsk during 1996 through 2003 there was growing incidence of necrotic complications of syndrome of the diabetic foot (SDF) from 26.0 up to 50.5 per 100 000 adults (p < or = 0.001). According to prognosis the incidence of SDF will grow by 2010 more than two times (R2 = 0.9849). Comparison of effectiveness of surgical treatment on Diabetological centers (1st group) and non-specialized institutions (2nd group) has shown that lethality in the first group was 4.2%, in the second group--9.7%. In the first group the frequency of high amputations decreased from 31.3% in 1996 to 12.3% in 2005 (p < 0.05). As a whole, organizational, diagnostic and medical defects of treatment were noted in 89.5 out of 100 patients in both groups, the errors in specialized institutions being made 5.7 times more rarely than in non-specialized ones, that speaks well to specialized Diabetological centers.
1996年至2003年期间，车里雅宾斯克市糖尿病足综合征（SDF）坏死并发症的发病率从每10万成年人26.0例增至50.5例（p≤0.001）。据预测，到2010年SDF的发病率将增长两倍多（R2 = 0.9849）。对糖尿病中心（第一组）和非专科医院（第二组）手术治疗效果的比较显示，第一组的死亡率为4.2%，第二组为9.7%。在第一组中，高位截肢的发生率从1996年的31.3%降至2005年的12.3%（p < 0.05）。总体而言，两组100名患者中有89.5名存在治疗组织、诊断和医疗方面的缺陷，专科医院出现错误的频率比非专科医院少5.7倍，这充分说明了糖尿病专科医院的优势。
