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糖尿病足溃疡患者下肢截肢的现状及影响因素。

Status and influencing factors of lower limb amputation in patients with diabetic foot ulcer.

机构信息

Department of Nursing, Affiliated Hospital of Zunyi Medical University, Zunyi, P. R. China.

出版信息

Int Wound J. 2023 Aug;20(6):2075-2081. doi: 10.1111/iwj.14076. Epub 2023 Jan 18.

Abstract

To investigate the influencing factors of lower limb amputation in patients with diabetic foot ulcers. Patients with diabetic foot ulcers who were hospitalised in a tertiary general hospital in Guizhou Province from January 2019 to March 2022 were retrospectively collected. Sociological information of the general population, comorbidities, laboratory-related indicators, and information on the specialty situation, using univariate analysis and multifactor analysis, compared the influencing factors of amputation and non-amputee patients. A total of 205 patients with diabetic foot and 69 ampute patients (33.7%) were enrolled. The univariate analysis found that the decrease in HDL cholesterol levels was associated with the occurrence of lower extremity amputation, and logistic stepwise regression analysis showed that HDL-C was inversely correlated with the amputation rate of patients with diabetic foot ulcers, and the risk of amputation at low levels of HDL-C was 2.452 times higher than that of high-level HDL-C (95% CI: 1.105-5.846). Decreased HDL cholesterol levels are an independent predictor of amputation in patients with diabetic foot ulcers.

摘要

目的

探讨糖尿病足溃疡患者下肢截肢的影响因素。

方法

回顾性收集 2019 年 1 月至 2022 年 3 月在贵州省某三级综合医院住院的糖尿病足溃疡患者,记录一般人群的社会学信息、合并症、实验室相关指标及专科情况信息,采用单因素分析和多因素分析比较截肢和非截肢患者的影响因素。

结果

共纳入 205 例糖尿病足患者和 69 例截肢患者(33.7%)。单因素分析发现,高密度脂蛋白胆固醇(HDL-C)水平降低与下肢截肢的发生有关,logistic 逐步回归分析显示,HDL-C 与糖尿病足溃疡患者的截肢率呈负相关,HDL-C 水平低的截肢风险是高水平 HDL-C 的 2.452 倍(95%CI:1.105~5.846)。

结论

HDL 胆固醇水平降低是糖尿病足溃疡患者截肢的独立预测因子。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad23/10332993/b647205cd08f/IWJ-20-2075-g001.jpg

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