肯尼亚一家乡村医院的肢体截肢模式。
Pattern of limb amputation in a Kenyan rural hospital.
作者信息
Ogeng'o Julius A, Obimbo Moses M, King'ori John
机构信息
Department of Human Anatomy, University of Nairobi, PO Box 30197, 00100, Nairobi GPO, Kenya.
出版信息
Int Orthop. 2009 Oct;33(5):1449-53. doi: 10.1007/s00264-009-0810-5. Epub 2009 May 28.
Causes of limb amputations vary between and within countries. In Kenya, reports on prevalence of diabetic vascular amputations are conflicting. Kikuyu Hospital has a high incidence of diabetic foot complications whose relationship with amputation is unknown. This study aimed to describe causes of limb amputations in Kikuyu Hospital, Kenya. Records of all patients who underwent limb amputation between October 1998 and September 2008 were examined for cause, age and gender. Data were analysed using the statistical package for Social Sciences (SPSS) for Windows Version 11.50. One hundred and forty patients underwent amputation. Diabetic vasculopathy accounted for 11.4% of the amputations and 69.6% of the dysvascular cases. More prevalent causes were trauma (35.7%), congenital defects (20%), infection (14.3%) and tumours (12.8%). Diabetic vasculopathy, congenital defects and infection are major causes of amputation. Control of blood sugar, foot care education, vigilant infection control and audit of congenital defects are recommended.
不同国家之间以及同一国家内部，肢体截肢的原因各不相同。在肯尼亚，关于糖尿病血管性截肢患病率的报告相互矛盾。基库尤医院糖尿病足并发症的发生率很高，但其与截肢之间的关系尚不清楚。本研究旨在描述肯尼亚基库尤医院肢体截肢的原因。对1998年10月至2008年9月期间所有接受肢体截肢手术的患者的记录进行了病因、年龄和性别的检查。使用Windows版社会科学统计软件包（SPSS）11.50对数据进行分析。140例患者接受了截肢手术。糖尿病血管病变占截肢病例的11.4%，占血管性病变病例的69.6%。更常见的病因是创伤（35.7%）、先天性缺陷（20%）、感染（14.3%）和肿瘤（12.8%）。糖尿病血管病变、先天性缺陷和感染是截肢的主要原因。建议控制血糖、开展足部护理教育、严格控制感染并对先天性缺陷进行审查。
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