Liedberg E, Persson B M
Acta Orthop Scand. 1983 Jun;54(3):383-8. doi: 10.3109/17453678308996589.
The increased number of amputations for arterial occlusive disease noted in western countries is only partly explained by increasing numbers of the elderly. A prospective analysis of the influence of diabetes and smoking habits was therefore carried out. In 1978-81, 188 lower limb amputees in Lund were examined and classified as non-smokers, ex-smokers, light smokers and heavy smokers. These figures were compared with corresponding figures among age-correlated controls and to a group of hip fracture patients. The material was divided into men and women and into non-diabetics and diabetics. Smokers had much lower mean age at amputation. Out of 188 amputees only 23 were not either a diabetic, a smoker or 80 years or more. The population study indicates a correlation between smoking and amputation for ichaemia. The coincident increase in cigarette consumption in Sweden is illustrated and it is suggested that smoking should be noted as routinely as diabetes at amputations.
西方国家因动脉闭塞性疾病而进行截肢手术的人数增加，这一现象仅有部分原因可归咎于老年人数量的增多。因此，我们对糖尿病和吸烟习惯的影响进行了前瞻性分析。1978年至1981年期间，我们对隆德的188名下肢截肢患者进行了检查，并将他们分为非吸烟者、已戒烟者、轻度吸烟者和重度吸烟者。这些数据与年龄匹配的对照组以及一组髋部骨折患者的相应数据进行了比较。研究对象按性别和是否患有糖尿病进行了分组。吸烟者截肢时的平均年龄要低得多。在188名截肢患者中，只有23人既非糖尿病患者，又非吸烟者，年龄也未达到或超过80岁。这项人群研究表明，吸烟与缺血性截肢之间存在关联。文中还展示了瑞典香烟消费量的同步增长情况，并建议在截肢手术中，应像常规记录糖尿病情况一样，对吸烟情况进行记录。
