■据报道,截肢是一个主要但可预防的公共卫生问题,与深刻的经济相关,对患者和家庭的社会和心理影响,特别是在缺乏假肢服务的发展中国家,无法接近或负担不起。
■这项研究的目的是确定截肢的模式和适应症。
■一项回顾性研究,为期4年,涉及126名在教学医院接受截肢的患者。从手术室记录簿和文件夹中获得包括截肢指征的患者数据,并使用SPSS和MSExcel进行分析。数据以频率和百分比表示。卡方检验用于比较分类变量,如果p<0.05,则认为差异显著。
■126例患者的平均年龄为60.92(SD19.03)岁,中位数为67岁。有68名女性和58名男性,男女比例为1.2:1。下肢截肢114例(90.48%),上肢截肢12例(9.52%)。最常见的截肢指征是糖尿病足坏疽,占54例(42.86%),其次是外周血管疾病43例(34.13%)和创伤12例(9.52%)。除了糖尿病足坏疽以外,有21例截肢的患者也患有糖尿病。膝盖以下截肢是最常见的手术(43.65%)。一百二十(95.2%)是单方面的,116(92.1%)是在单阶段手术中进行的。
■海岸角教学医院的大部分截肢手术都是在老年患者中进行的,女性略多于男性。下肢截肢比上肢截肢更为常见。最常见的截肢指征是糖尿病足坏疽,膝盖以下截肢是最常见的类型。迫切需要关于糖尿病及其并发症和糖尿病足护理的公共教育。如果要在海岸角教学医院减少截肢的发生率,则提倡建立多学科糖尿病足护理诊所。
UNASSIGNED: Limb amputation is reported to be a major but preventable public health problem that is associated with profound economic, social and psychological effects on the patient and family especially in developing countries where prosthetic services are unavailable, inaccessible or unaffordable.
UNASSIGNED: The purpose of this study was to determine the patterns of and indications for limb amputations.
UNASSIGNED: A retrospective study, covering a 4-year period, involving 126 patients who underwent amputation at a teaching hospital was carried out. Data on patients including indication for amputation were obtained from theatre record books and folders and analyzed using SPSS and MS Excel. Data was presented in frequencies and percentages. Chi square tests were used to compare categorical variables and differences were considered significant if p<0.05.
UNASSIGNED: The mean age of the 126 patients was 60.92(SD19.03) years with a median of 67years. There were 68 females and 58 males giving a female to male ratio of 1.2:1. Lower limb amputations were performed in 114(90.48%) and upper limb amputations in 12(9.52%) patients. The commonest indication for amputation was diabetic foot gangrene accounting for 54(42.86%) patients, followed by peripheral vascular disease 43(34.13%) and trauma 12(9.52%). Twenty-one of the patients who had amputations for indications other than diabetic foot gangrene also had diabetes mellitus. Below knee amputation was the commonest procedure performed (43.65%). One hundred and twenty (95.2%) were unilateral and 116 (92.1% ) were performed in a single-stage procedure.
UNASSIGNED: Most of the amputations in the Cape Coast Teaching Hospital were performed in elderly patients, with a slight preponderance of women over men. Lower limb amputations were far more common than upper limb ones. The commonest indication for amputations was diabetic foot gangrene, with below knee amputation being the commonest type. There is an urgent need for public education on diabetes and its complications and on diabetic foot care. The establishment of a multidisciplinary diabetic foot care clinic is advocated if the incidence of limb amputations is to be reduced in the Cape Coast Teaching Hospital.