2型糖尿病足患者的年龄特征和下肢截肢预测风险因素:基于人口的回顾性研究
Yuanying Yao1, Lei Chen2, Yu Qian3
1Department of Medical Record Management, The First Affiliated Hospital of Wannan Medical College 241000, Wuhu, China.
Journal of diabetes research
|December 30, 2024
概括
糖尿病足 (DFU) 不成比例地影响男性,截肢风险受到血管问题,先前截肢和感染的影响. 年龄影响DFU的流行率和死亡率,突出了干预的关键因素.
科学领域:
- 医学科学 医学科学 医学科学
- 流行病学 流行病学
- 血管外科 血管外科
背景情况:
- 关于亚洲发展中国家,特别是中国的糖尿病足和截肢风险因素的流行病学数据有限.
- 了解这些因素对于有针对性的干预和改善患者治疗结果至关重要.
研究的目的:
- 调查2型糖尿病足患者的年龄分布.
- 确定预测2型DFU患者下肢和主要截肢的关键影响因素.
主要方法:
- 对18岁以上的2型DFU患者电子病历的回顾性分析 (2017年1月 - 2023年12月).
- 后勤回归建模以确定截肢和重大截肢的风险因素.
主要成果:
- 确定了918名2型DFU患者;68.2%是男性. 在2型糖尿病患者中,DFU的患病率为1.07%.
- 冬季的DFU患者主要是70-79岁;死亡率在这个群体中达到顶峰. 在50-59岁的人群中,截肢发生在38.8%的人群中.
- 血管CTA,并发症,截肢史和感染部位预测了下肢截肢. 截肢史和血红蛋白水平预测了主要的截肢.
结论:
- 大多数2型DFU发生在50-59岁年龄组中,而死亡率在70-79岁年龄组中最高.
- 血管健康的严重程度,先前的截肢史和感染显著影响DFU患者截肢的可能性.
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