糖尿病の足の潰瘍の患者における大きな切断の発生率と原因: 後回調査からのデータ
Marco Meloni1,2,3, Luigi Uccioli4, Aikaterini Andreadi5,6
1Department of Systems of Medicine, University of Tor Vergata, Rome, 00133, Italy. meloni.marco@libero.it.
Acta diabetologica
|September 4, 2025
まとめ
多科目の糖尿病足症候群 (MDFT) は糖尿病足症候群の患者で非常に低い2. 4%の大切断率を達成しました. 周辺動脈疾患 (PAD) は,このコホートにおける切断の主な原因でした.
科学分野:
- 内分泌学
- 血管 外科
- 感染症
背景:
- 糖尿病足症候群は 深刻な問題であり,多くの場合 大規模な切断が必要になります
- 効果的な管理には 肢体回復に包括的で多学科的なアプローチが必要です
研究 の 目的:
- 糖尿病足症候群の患者の大きな切断の発生率と病因的要因を決定する.
- 多分野糖尿病足チーム (MDFT) が管理する肢体救済プロトコルの有効性を評価する.
主な方法:
- 2020年1月から2023年11月までの間に糖尿病足の病気で入院した1226人の患者による遡及観察研究.
- MDFTによって,事前に設定された肢体救済プロトコルで管理された患者.
- 1年間の追跡調査で 大規模な切断率,患者の特徴,原因が評価されます.
主要な成果:
- 合計30人の患者 (2. 4%) が大きな切断を受けた.
- 切断された人はしばしば2型糖尿病,長時間の病気,外周動脈疾患 (PAD),心臓病,腎臓疾患を含む複数の併発性疾患を患っていました.
- 手足の不治不良症 (56. 7%),骨盤骨髄炎/死滅性ファシイティス (16. 7%) とタールス骨髄炎 (10%) が主な原因でした.
結論:
- MDFTのアプローチは,非常に低い主要な切断率をもたらしました.
- 周辺動脈疾患 (PAD) は,この高リスク集団における主要な截肢の原因として浮上しました.
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