■糖尿病足是糖尿病的常见并发症,影响约15-20%的糖尿病患者。这是一种合并症,严重影响患者的常规生活。本研究旨在评估多学科管理策略及其对糖尿病足患者预后的影响。
■对56例糖尿病足患者进行了一项前瞻性观察研究。结果指标包括手术类型,手术频率,发病率,死亡率,患者满意度,重返工作岗位,以及使用假体的患者数量。
■大多数患者(87%)接受了手术治疗。最常见的手术类型是清创术(55%),其次是轻微截肢(脚趾截肢/前足截肢)(28%)和主要截肢(膝盖以下(B/K)或膝盖以上(A/K))(15%)。超过70%的患者进行了多次手术。死亡率很低(7%),71%的存活患者对他们的治疗感到满意。67%的患者提前重返工作岗位。使用假体的患者数量也很高(占主要截肢病例的73%)。
■多学科管理是糖尿病足患者最有效的方法。这些患者的发病率可能较低,并且可以早日恢复工作。糖尿病足患者的专业护理诊所对于防止治疗失败至关重要,随访记录丢失,永久性肢体丧失,和社会的经济负担。
UNASSIGNED: Diabetic foot is a common complication of diabetes mellitus, affecting approximately 15-20% of individuals with diabetes. It is a comorbid condition that significantly impacts the routine life of patients. This study aimed to assess multidisciplinary management strategies and their impact on the outcomes of patients with diabetic foot.
UNASSIGNED: A prospective observational study was conducted on 56 patients with diabetic foot. Outcome measures included the type of surgery, frequency of surgery, morbidity, mortality, patient satisfaction, return to work, and the number of patients using prostheses.
UNASSIGNED: The majority of the patients (87%) received surgical treatment. The most common type of surgery performed was debridement (55%), followed by minor amputations (toes amputation/forefoot amputation) (28%) and major amputations (below-knee (B/K) or above-knee (A/K)) (15%). More than 70% of patients had multiple surgeries. The mortality rate was low (7%), and 71% of surviving patients were satisfied with their treatment. Sixty-seven percent of patients had an early return to work. The number of patients using prostheses was also high (73% of major amputation cases).
UNASSIGNED: Multidisciplinary management is the most effective approach for diabetic foot patients. These patients may experience less morbidity and an early return to work. A specialized care clinic for diabetic foot patients is essential to prevent treatment failure, loss of follow-up records, permanent limb loss, and economic burdens on society.