尼泊尔的糖尿病脚问题
Suman Baral1, Satyan Rajbhandari2
1Department of Diabetes & Endocrinology Mediciti Hospital, Lalitpur, Nepal.
Frontiers in endocrinology
|November 29, 2023
概括
尼泊尔糖尿病足部问题很普遍,影响3.7%的患者和14.3%的神经病变患者. 缺乏专门诊所凸显了对糖尿病护理的结构化,多学科方法的需要.
科学领域:
- 内分泌学和新陈代谢学
- 公共卫生 公共卫生
- 血管外科 血管外科
背景情况:
- 糖尿病是尼泊尔日益严重的健康问题,估计有200万人受到影响.
- 尼泊尔有限的资源对可访问的糖尿病护理和并发症查构成重大障碍.
- 尼泊尔严重缺乏有关糖尿病足问题的发病率,流行率和并发症的数据.
研究的目的:
- 评估高级医生对尼泊尔糖尿病足问题的患病率和挑战的看法.
- 从医疗保健专业人员收集有关糖尿病足并发症的初步数据.
- 确定尼泊尔需要改进糖尿病管理策略的需求.
主要方法:
- 一项在线调查分发给尼泊尔糖尿病和内分泌协会的高级医生.
- 医生被要求报告前一个月见到的糖尿病足并发症患者数量.
- 收集的数据包括糖尿病足的流行率,疼痛性神经病变和截肢史.
主要成果:
- 该调查包括38名医生,他们总共看到了17597名患者.
- 据报道,糖尿病足的粗略患病率为3.7%,疼痛神经病变的14.3%.
- 截肢率为小截肢的1.2%,大截肢的0.8%.
结论:
- 糖尿病足部问题在尼泊尔是一个巨大的负担.
- 缺乏专门的多学科糖尿病足诊所是护理的重大差距.
- 对于尼泊尔糖尿病足并发症的查和治疗,迫切需要一种结构化,多学科的方法.
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