我们信赖的血液:贫血是糖尿病足患者治疗前的负面因素
Francesco Giangreco1, Elisabetta Iacopi1, Vittorio Malquori1
1Diabetic Foot Section - Pisa University Hospital, Via Paradisa 2, 56126, Pisa, Italy.
Acta diabetologica
|October 17, 2023
概括
贫血严重影响糖尿病足的愈合. 贫血患者的治愈率较低,复发率更高,表明贫血是糖尿病足病中治愈失败的独立预测因素.
科学领域:
- 糖尿病学 糖尿病学
- 血液学 血液学 血液学
- 血管外科 血管外科
背景情况:
- 糖尿病足 (DF) 疾病的严重程度与贫血有关.
- 贫血对DF愈合结果的影响需要进一步调查.
研究的目的:
- 评估贫血存在是否会影响糖尿病足患者的愈合率.
- 评估贫血和糖尿病脚治愈结果之间的关系,包括治愈时间和复发率.
主要方法:
- 对196名2021年入院的糖尿病足患者的回顾性分析.
- 患者被分为两组:有贫血 (A组) 和没有贫血 (B组).
- 临床特征,程序和结果的比较:6个月的治愈率 (HR),12个月的治愈时间 (HT) 和复发率 (RR).
主要成果:
- 58%的患者 (A组) 患有贫血,这些患者的疾病持续时间较长,血红蛋白/红细胞计数较低.
- 组A的治愈率明显较低 (55.2%与76.8%,p=0.0028) 和复发率较高 (23.6%与17.1%,p<0.02).
- 贫血被证实是治愈失败的独立预测因素 (危险比值2.8,p=0.0037).
结论:
- 贫血是糖尿病足患者常见的并发症.
- 贫血与糖尿病足病的愈合机会降低和复发率增加有关.
- 贫血代表了糖尿病足患者治愈失败的独立预测因素.
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