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Diabetologia:荷兰糖尿病足部溃疡患病率有多高?

2017-06-08 MedSci MedSci原创

关于糖尿病足溃疡患病率的数据很少。在20世纪90年代进行的大多数研究,报告发病率为1.9-2.6%。此后,糖尿病患病率翻了一番,糖尿病护理发生了重大变化。因此,了解糖尿病足溃疡发生的最新数据是必需的,可作为未来研究的基准。近日,国际杂志Diabetologia在线发表了一遍关于糖尿病脚步溃疡的研究。

关于糖尿病足溃疡患病率的数据很少。在20世纪90年代进行的大多数研究,报告发病率为1.9-2.6%。此后,糖尿病患病率翻了一番,糖尿病护理发生了重大变化。因此,了解糖尿病足溃疡发生的最新数据是必需的,可作为未来研究的基准。近日,国际杂志Diabetologia在线发表了一遍关于糖尿病脚步溃疡的研究。

NIVEL(荷兰卫生研究院服务研究)基层医疗数据库确认代表荷兰人口的81793名糖尿病患者,其中包含了标准化的日常护理数据。使用2010年至2013年期间收集的数据计算溃疡和其它足部异常的年发病率。为了避免不准确之处,发病率是使用以下方法分别计算的:(1)具有足部检查记录的人;(2)所有个人;和(3)具有当前/不存在足部溃疡的明确记录的个人。注册期间共有412人记录到溃烂(0.50%)。全年发病率为0.34%(范围为0.22-1.08%)。在记录足部检查的患者中,14.6%的患者没有脚动脉搏动,17.3%患有神经病变,10.1%患有愈伤组织/压力标记。

研究表明,目前研究中足部溃疡的年发病率低于以前所报道的。这一结果可以反映出专业人员和患者的意识有所。然而,每五名糖尿病患者中约有一人在足部检查中至少有一个可识别的危险因素。这意味着预防筛查的重要性。

原始出处:

Robert M. Stoekenbroek. et.al. How common are foot problems among individuals with diabetes? Diabetic foot ulcers in the Dutch population.

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    2017-06-08 flysky120

    糖尿病不好治疗

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