ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG BỆNH ĐỘNG MẠCH CHI DƯỚI Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TÍP 2 CÓ LOÉT BÀN CHÂN TẠI KHOA NỘI TIẾT, BỆNH VIỆN BẠCH MAI

Abstract

Objective: To describe clinical and subclinical characteristics of lower peripheral arterial disease (PAD) in type 2 diabetes patients with foot ulcer at the Department of Endocrinnology, Bach Mai Hospital. Subjects and methods: A prospective descriptive study in 45 patients diagnosed with type 2 diabetes with foot ulcers who have been inpatient treatment at the Department of Endocrinology, Bach Mai Hospital from Oct, 2022 to Aug 2023. Results: The average age of the patients was 67,0 years. 77,8% of patients had foot infections. The proportion of patients with hypertension and smoking was 80,0% and 86,4%. Among 31 patients with lower extremity arterial disease, of which 51,6% were in stages I-II, and 48,4% were in stages III-IV according to the Lerich-Fontain classification. No relationship was found between PAD and diabetes duration, hypertension, smoking, dyslipidemia, and chronic kidney disease (CKD) in diabetic patients with foot ulcers. Conclusion: The rate of PAD in diabetic patients with foot ulcers is 68,9%, of which 48,4% are in stages III-IV according to the Lerich-Fontain classification. There is a relationship between the severity of foot ulcers and the incidence and severity of PAD. Age and poor glycemic control are two factors associated with increased incidence of PAD.