Vieira-Santos Isabel Cristina Ramos, Souza Wayner Vieira de, Carvalho Eduardo Freese de, Medeiros Maria Carolina Wanderley Costa de, Nóbrega Milka Gabrielle de Lira, Lima Patrícia Michelly Santos
Faculdade de Enfermagem Nossa Senhora das Graças, Universidade de Pernambuco, Recife, Brasil.
Cad Saude Publica. 2008 Dec;24(12):2861-70. doi: 10.1590/s0102-311x2008001200015.
One of the most important chronic complications of diabetes mellitus is diabetic foot. Severe progression of diabetes can lead to lower limb amputations. However, since evolution of the disease is slow, it is possible to implement prevention and control measures. The scope of the Family Health Program (in terms of the possibility of early diagnosis of diabetes mellitus and diabetic foot) favors epidemiological studies to determine the problem's magnitude. This article aimed to identify the proportion of individuals with diabetic foot treated at family health units in the city of Recife, Pernambuco State, Brazil. An epidemiological survey was conducted with a probabilistic sample of medical charts of diabetic patients (N = 1,374) enrolled in six health districts in the city, analyzing relations between socioeconomic variables, health conditions, and the occurrence of amputation. Diabetic foot was observed in 9% of the sample. There was a positive and statistically significant association with the variables alcoholism and amputation (p < 0.001). The prevalence of lower limb amputations was 25.6% among individuals with complications and 2.3% of the total sample.
糖尿病最重要的慢性并发症之一是糖尿病足。糖尿病的严重进展可导致下肢截肢。然而，由于该疾病进展缓慢，实施预防和控制措施是可行的。家庭健康计划的范围（就早期诊断糖尿病和糖尿病足的可能性而言）有利于开展流行病学研究以确定该问题的严重程度。本文旨在确定巴西伯南布哥州累西腓市家庭健康单位治疗的糖尿病足患者比例。对该市六个卫生区登记的糖尿病患者（N = 1374）的病历进行概率抽样，开展了一项流行病学调查，分析社会经济变量、健康状况与截肢发生之间的关系。在9%的样本中观察到糖尿病足。酗酒和截肢变量之间存在正向且具有统计学意义的关联（p < 0.001）。有并发症的个体中下肢截肢患病率为25.6%，占总样本的2.3%。
