Evans S L, Nixon B P, Lee I, Yee D, Mooradian A D
Surgical Service, Tucson Veterans Administration Medical Center, AZ.
J Am Geriatr Soc. 1991 Mar;39(3):241-5. doi: 10.1111/j.1532-5415.1991.tb01644.x.
To determine if diabetes in the elderly is associated with increased prevalence of podiatric problems, a random sample of diabetic patients (n = 74) was compared to a group of elderly non-diabetic patients (n = 79). The two groups were comparable in age (range 70-90 years), smoking habits, and consumption of alcohol. The mean duration of diabetes was 14.5 +/- 11.7 years (+/- SD), and mean serum fructosamine level was 3.3 +/- 0.66 mmol/L. The number of medical diagnoses and medications used was significantly higher in the diabetic group. Diabetic patients had modestly higher prevalence of neuropathy, vascular disease, kidney disease, and eye complications. The most common podiatric problem in both groups was elongated toenails. The prevalence of podiatric problems such as cellulitis, amputation, tinea pedia, onychomycosis, calluses, bunions, and hammer toe deformity were not increased in diabetic patients. Active foot ulcers were more common in diabetic patients (13/74 vs 5/79, P less than 0.05). It is concluded that diabetes in the elderly, unlike in young patients, increases the risk of foot problems only marginally.
为了确定老年糖尿病患者足部问题的患病率是否增加，将糖尿病患者的随机样本（n = 74）与一组老年非糖尿病患者（n = 79）进行比较。两组在年龄（70 - 90岁）、吸烟习惯和酒精摄入量方面具有可比性。糖尿病的平均病程为14.5 +/- 11.7年（+/-标准差），平均血清果糖胺水平为3.3 +/- 0.66 mmol/L。糖尿病组的医学诊断数量和使用的药物数量显著更高。糖尿病患者神经病变、血管疾病、肾脏疾病和眼部并发症的患病率略高。两组中最常见的足部问题是趾甲过长。糖尿病患者中蜂窝织炎、截肢、足癣、甲癣、胼胝、拇囊炎和锤状趾畸形等足部问题的患病率并未增加。活动性足部溃疡在糖尿病患者中更为常见（13/74对5/79，P < 0.05）。结论是，与年轻患者不同，老年糖尿病患者仅略微增加足部问题的风险。
