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糖尿病足溃疡危险因素的监测,尤其关注当地实际情况。

Surveillance of risk factors for diabetic foot ulceration with particular concern to local practice.

作者信息

Ahmed Almoutaz Alkhier, Algamdi Saad Abdulrahman, Alzahrani Abdullah M

机构信息

National Guard Health Affairs, Specialized Polyclinics, Jeddah, Saudi Arabia.

National Guard Health Affairs, Specialized Polyclinics, Jeddah, Saudi Arabia.

出版信息

Diabetes Metab Syndr. 2015 Oct-Dec;9(4):310-5. doi: 10.1016/j.dsx.2014.04.004. Epub 2014 May 22.

Abstract

INTRODUCTION

Diabetes mellitus is a global health problem with rising prevalence worldwide. Diabetes mellitus is a multisystem disease affects many systems and tissues. Foot problems are not uncommon with diabetes and foot ulceration is one of theses problems. Risk factors for foot ulcerations may differ from community to community based on many factors.

OBJECTIVES

To determine the risk factors for diabetic foot ulceration among Saudi diabetic patients with type 2 diabetes attending primary care center.

METHODOLOGY

Cross sectional study was designed. Four hundred subjects were selected randomly. Inclusion criteria were settled. Three hundred and fifty subjects (350) were participated. Especial assessment form was designed. Data was collected and analyzed using SPPS ver 14.

RESULTS

Three hundred and fifty subjects were participated (57% male and 43% female). The prevalence of peripheral vascular disease was 15%, hulux vulgus 22.5%, inappropriate foot wear 41%, peripheral neuropathy 47.5%. Peripheral neuropathy and inappropriate foot wear were the commonest risk factors for foot ulceration.

CONCLUSION

Peripheral neuropathy and inappropriate foot wear were the commonest risk factors for foot ulceration.

摘要

引言

糖尿病是一个全球性的健康问题,在全球范围内患病率不断上升。糖尿病是一种多系统疾病,会影响许多系统和组织。足部问题在糖尿病患者中并不罕见,足部溃疡就是其中之一。基于多种因素,足部溃疡的风险因素在不同社区可能会有所不同。

目的

确定在初级保健中心就诊的沙特2型糖尿病患者中糖尿病足溃疡的风险因素。

方法

设计了横断面研究。随机选择400名受试者。确定了纳入标准。350名受试者参与研究。设计了专门的评估表。使用SPPS 14版收集和分析数据。

结果

350名受试者参与研究(男性占57%,女性占43%)。外周血管疾病的患病率为15%,扁平足为22.5%,鞋类不合适为41%,周围神经病变为47.5%。周围神经病变和鞋类不合适是足部溃疡最常见的风险因素。

结论

周围神经病变和鞋类不合适是足部溃疡最常见的风险因素。

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