Ndour Mbaye N M, Sarr A, Diop S N, Diedhiou D, Ka M, Camara A Y, Sidibe E H, Sowa A M
Clinique Médicale II, Centre Hospitalier Abass Ndao, CHU Dakar.
Dakar Med. 2008;53(3):205-12.
Diabetic foot is a major complication of diabetes due to its frequency and its high risk of evolution to amputation. We report 105 cases recruited at the diabetes centre Marc Sankale.
It's a prospective study including all diabetic patients who attended the diabetes centre for any foot lesion during a one year period. Besides clinical examination data, results of glycaemia, foot X-ray Doppler and bacteriological analysis of the pus were collected.
foot lesion represented 2.8% of diabetologist causes of consultation. Mean age of occurrence was 55 +/- 14 years in 63% women and 37% men. Diabetes was type 2 in 90% cases, poorly controlled in 63.92 % cases. Foot lesion was dominated by infection (97%), isolated or associated to peripheral vascular disease (32.4%) or neuropathy (13.3%). 67 patients had medical treatment and healed their wounds in 3 months in 76% cases. 38 other cases needed surgery : major amputation (15%), minor amputation (13%) debridment (9%) and revascularization (1%).
Diabetic foot is a frequent reason for consultation at the National diabetes centre. Despite all the improvements made after the implementation of the patient's educational program, treatment starts late because of economical and cultural reasons that increase morbidity.
糖尿病足是糖尿病的一种主要并发症，因其发病频率高且有演变为截肢的高风险。我们报告了在马克·桑卡尔糖尿病中心招募的105例病例。
这是一项前瞻性研究，纳入了在一年期间因任何足部病变前往糖尿病中心就诊的所有糖尿病患者。除了临床检查数据外，还收集了血糖、足部X线多普勒检查结果以及脓液的细菌学分析结果。
足部病变占糖尿病专科医生会诊原因的2.8%。发病的平均年龄为55±14岁，其中63%为女性，37%为男性。90%的病例为2型糖尿病，63.92%的病例控制不佳。足部病变以感染为主（97%），单独存在或与周围血管疾病（32.4%）或神经病变（13.3%）相关。67例患者接受了药物治疗，76%的病例在3个月内伤口愈合。另外38例需要手术治疗：大截肢（15%）、小截肢（13%）、清创术（9%）和血管重建术（1%）。
糖尿病足是国家糖尿病中心常见的会诊原因。尽管在实施患者教育计划后有了所有这些改善，但由于经济和文化原因导致治疗开始较晚，从而增加了发病率。
