Diabetik Ayaklı Hastalarımızda Amputasyon Oranları ve Demografik Veriler

Öz

Amaç:

Diyabetik ayak, nontravmatik amputasyonların enönemli nedenidir. Bu çalışmadaki amacımız kliniğimizde takip edilen ve diabetik ayak tanısı almış olan hastalarımızın demografik verilerini, major-minör amputasyon oranlarını ve kronik komplikasyonlarını değerlendirmektir.

Gereç ve Yöntem:

Son üç yıllık sürede diabetik ayak tanısıile kiniğimizde yatırılarak izlenen hastaların verileri retrospektif olarak incelendi.

Bulgular:

Çalışmaya 13 (%37.1)’ü kadın 22 (%62.9)’si erkek toplam 35 hasta alındı. Yaş ortalamaları 64.85±10.01(43-85) yıl idi. Diyabetik ayak nedeni ile 16 hastaya(%45.7) major amputasyon, 10 hastaya (%28.6) ise minör amputasyon uygulanmıştı. Amputasyon uygulanan 26 hastanın (%74.3), 11’i kadın (%42.3), 15’i erkek (%57.7) idi. Bu hastaların 21’inde (%80.8) hipertansiyon ve koroner arterhastalığı mevcuttu. 13 hasta (%0) sigara kullanıyordu. 20 hastada (%76.9) alt ekstremite arteriyel dopplerde monofazik akım ve PAH öyküsü ile birlikte retinopati ve nöropati bulunuyordu. 23 hastada (%88.5) osteomyelit, 17 hastada(%65.4) nefropati, saptandı. Hastaların 20’sinde (%76.9)HbA1c > 6.5 idi.

Sonuç:

Amputasyon uygulanan hastalarımızda HbA1c düzeyini, mikro ve makrovasküler komplikasyon varlığını, HT ve sigara kullanımı sıklığını amputasyon uygulanmayanlara göre daha yüksek saptadık.

Anahtar Kelimeler

• Diyabetes Mellitus
• diyabetik ayak
• amputasyon

Amputation Rates and Demographic Data of the Patients with Diabetic Foot in our Clinics

Abstract

Aim: Diabetic foot is one of the most important causes of non traumatic amputations. In this study, our purpose was evaluating the demographic data, major and minor amputation rates and chronic complications in our patients. Material And Method: We have analyzed the data of our patients who were hospitalized because of diabetic foot in last three years in endocrinology ward. Results: 35 patients were enrolled in this study. 13 (37.1%) patients were female whereas 22 patients (62.9%) were male. Mean age was 64.85±10.01 (43-85) years. 16 patients (61.5%) major and 10 (38.5%) had minor amputations. Eleven (42.3%) of 23 patients who needed amputation were female and 15 (57.7%) of them were male. Among patients who had amputation, 21 patients (80.8%) had hypertension and coronary artery disease and 13 patients (50%) had smoking history, 20 (76.9%) had monophasic arterial blood flow shown with doppler and concomitant retinopathy and neuropathy. 23 patients (88.5%) had osteomyelitis,17 patients (65.4%) had nephropathy. HbA1c levels were above 6.5 in 20 patients (76.9%) with amputation. Conclusion: HbA1c levels, incidence of micro and macrovascular complications, hypertension and smoking rates were higher in patients who had amputation than the ones who didn’t

Keywords

• Diabetes Mellitus
• diabetic foot
• amputation

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