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在德克萨斯州的糖尿病人群中,骨髓炎和骨髓炎相关的截肢

Daniel C Jupiter¹, Sabrina M Pescatore²

¹*Department of Biostatistics and Data Science, The University of Texas Medical Branch, Galveston, TX.

Journal of the American Podiatric Medical Association

|December 30, 2025

概括

糖尿病骨髓炎 (OM) 和相关截肢在德克萨斯州从2006年至2016年增加,跨越所有年龄组. 虽然糖尿病率的上升有助于,但它们不能完全解释这种趋势,需要进一步研究干预措施.

科学领域:

流行病学流行病学
公共卫生公共卫生
整形外科整形外科整形外科

背景情况:

骨髓炎 (OM) 是一种具有挑战性的骨感染,报告病例越来越多.
之前的研究表明OM诊断的上升趋势.
这项研究重点关注得克萨斯州的糖尿病OM和相关截肢,得克萨斯州的糖尿病患病率很高.

研究的目的:

检查德克萨斯州糖尿病骨髓炎 (OM) 诊断的时间趋势.
调查糖尿病患者中与OM相关的大型和小型截肢的趋势.
分析糖尿病OM和截肢的特定年龄趋势.

主要方法:

德克萨斯州住院医院数据 (2006-2016) 的回顾性分析.
纳入标准:糖尿病和脚/脚OM或OM相关截肢的诊断代码.
率是按1000人计算的,并使用2019年人口估计标准化.

主要成果:

糖尿病OM和OM相关截肢 (总体,主要,轻微) 的患病率从2006-2016年增加,与2014-2016年相比有明显的下降.
年龄标准化利率和所有年龄组的利率反映了这些趋势.
在所有年龄组中观察到OM和截肢风险比率的显著增加,特别是45-64岁的人.

结论:

从2006年至2016年,在德克萨斯州,糖尿病OM和相关截肢的患病率在所有成年年龄组中都在增加.
虽然糖尿病率的上升是一个因素,但它并不仅仅解释了观察到的OM的增加.
建议进行进一步的研究,以确定减少糖尿病OM和截肢的发生率的干预措施.

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