Diabetologia：糖尿病患者截肢率近年来呈下降趋势，但仍然很高

2015-12-18 MedSci译 MedSci原创

研究者对1996-2011年菲英地区约50万居民进行了一项截肢调查，以调查伴或不伴糖尿病患者截肢发生率趋势。研究者通过医院信息系统获取截肢患者资料，通过丹麦国家糖尿病数据库识别糖尿病患者，从丹麦统计局获取死亡率和人口数据。通过风险模型分析截肢率，且分析了不同截肢水平发生率和接下来再次截肢发生率。研究数据共识别了 2,832例截肢，其中 1,285例是糖尿病患者，1,547例为非糖尿病患者。与非糖

研究者对1996-2011年菲英地区约50万居民进行了一项截肢调查，以调查伴或不伴糖尿病患者截肢发生率趋势。

研究者通过医院信息系统获取截肢患者资料，通过丹麦国家糖尿病数据库识别糖尿病患者，从丹麦统计局获取死亡率和人口数据。通过风险模型分析截肢率，且分析了不同截肢水平发生率和接下来再次截肢发生率。

研究数据共识别了 2,832例截肢，其中 1,285例是糖尿病患者，1,547例为非糖尿病患者。与非糖尿病患者相比，男性糖尿病患者踝关节以下区域截肢(BAAs)HR=14.7，女性糖尿病患者该数据为7.5；男性糖尿病患者踝关节到膝关节区域截肢(BKAs)HR=7.6，女性该数据为8.4；男性糖尿病患者膝关节以上截肢(AKAs)HR=4.0，女性该数据为3.7。研究者还发现糖尿病患者中BAA发生率每年下降9.8%，BKA发生率每年下降15.1%。

研究结果表明，虽然糖尿病患者截肢发生率仍很高，风险是非糖尿病患者的数倍，但近年来截肢发生率的趋势表明，糖尿病患者截肢发生率在下降！

原始出处：

Rasmussen BS, Yderstraede KB,et al.Substantial reduction in the number of amputations among patients with diabetes: a cohort study over 16 years.Diabetologia. 2016 Jan;59(1):121-9.

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2016-04-15 ms5439512287675881

#BET#

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2016-10-06 ms9608593228839890

#DIA#

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2015-12-26 hixiaoluo

生活中注意

105 0
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2015-12-20 124984edm22暂无昵称

#截肢#

67 0
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2015-12-20 xue8604

#糖尿病患者#

60 0
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2015-12-20 1de00086m73(暂无匿称)

糖尿病还是要注重控制

120 0
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2015-12-20 a191008346

关注糖尿病并发症

145 0
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2015-12-20 liushui8012

控制血糖，注意并发症

126 0
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2015-12-20 medcardio

关键在于控制血糖，中国这方面比例更高

132 0

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糖尿病

Diabetologia：糖尿病患者截肢率近年来呈下降趋势，但仍然很高

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