Ahmad Naseer, Thomas G Neil, Gill Paramjit, Torella Francesco
Department of Vascular and Endovascular Surgery, Manchester Royal Infirmary, Manchester, UK
University of Birmingham, Birmingham, UK.
Diab Vasc Dis Res. 2016 Sep;13(5):348-53. doi: 10.1177/1479164116651390. Epub 2016 Jun 22.
To determine the prevalence of amputation and revascularisation among diabetics and non-diabetics between 2003 and 2013.
Retrospective analysis of English hospital data with census estimates for population aged 50-84 years.
There were 42,294 major and 52,525 minor amputations and 355,545 revascularisations. Major amputation rates fell by 20% (27.7-22.9), with minor amputations (22.9-35.2) and revascularisations (199.8-245.4) rising. The major amputation rate reduced in diabetics (men, 180.5-111.8; women, 92.8-52.7) faster than non-diabetics (men, 24.6-18.7; women, 11.0-8.9). In total, 48.2% of men and 58.0% of women amputees were not diabetic.
Diabetics continue to experience six times the rate of amputation than non-diabetics. However, half of major amputees were not diabetic and experienced slower rates of decrease. Non-diabetics, particularly those with peripheral arterial disease, should have access to appropriate services, particularly foot care.
确定2003年至2013年间糖尿病患者和非糖尿病患者中截肢和血管重建的患病率。
对英国医院数据进行回顾性分析，并对50 - 84岁人群进行人口普查估计。
有42,294例大截肢和52,525例小截肢，以及355,545例血管重建手术。大截肢率下降了20%（从27.7降至22.9），小截肢率（从22.9升至35.2）和血管重建率（从199.8升至245.4）上升。糖尿病患者中大截肢率下降幅度（男性从180.5降至111.8；女性从92.8降至52.7）比非糖尿病患者（男性从24.6降至18.7；女性从11.0降至8.9）更快。总体而言，48.2%的男性截肢者和58.0%的女性截肢者并非糖尿病患者。
糖尿病患者的截肢率仍是非糖尿病患者的六倍。然而，一半的大截肢者并非糖尿病患者，且其下降速度较慢。非糖尿病患者，尤其是患有外周动脉疾病的患者，应能获得适当的服务，特别是足部护理服务。
