TỈ LỆ CẮT CỤT CHI DƯỚI Ở NGƯỜI BỆNH ĐÁI THÁO ĐƯỜNG TYP 2 DO LOÉT BÀN CHÂN ĐIỀU TRỊ NỘI TRÚ TẠI BỆNH VIỆN NỘI TIẾT TRUNG ƯƠNG

Abstract

Lower extremity amputation is a serious health problem that affects the quality of life and life expectancy of people with diabetes. This study identifies the rate of lower limb amputations and proposes intervention measures to help reduce the rate of lower limb amputations. Objective: Amputation rate of diabetic foot ulcer in diabetes mellitus patients admitted in National hospital of endocrinology. Subjects and methods: A cross-sectional descriptive study on 200 patients at the Foot Care Department from August 2023 to April 2024. Results: 71.5% of people with diabetes were over 60 years of age, and 67.5% were males. The lower limb cut rate is 31.5%. Some clinical characteristics of the patients include a treatment duration for ulcers before hospitalization ranging from 7 to 30 days (66%), with stage 3 ulcers accounting for (55%), stage 4 (16%), and only 2 cases of stage 5 ulcers. The area of the ulcer mainly ranges from 1 to 5 cm² (57%). Severe infection is 17%.  Conclusion: The rate of foot ulcers in men is higher than in women. Most patients with foot ulcers are aged between 60 and 69 years. The duration of diabetes in patients is mostly between 10 to 20 years. The treatment time for ulcers before hospitalization mainly ranges from 7 to 30 days, with stage 3 ulcers accounting for the highest percentage at 55.5%. The ulcer upon admission in a state of mild to moderate infection is 83%. The area of the ulcer mainly in group 1 - 5 cm² accounts for 57%. The rate of lower limb amputation in the study is 31.5%.