Assessment of Foot Ulcer and Peripheral Neuropathy in Diabetic Patients

Saiful Khan, Masudar Rahman, Morsalin Rahaman, Alamgir Jalil Pramanik, B K M Tarik Hossain, Mst Israt Jahan, Md Sohel Rana, Md Julfiquer Ali Siddiky
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Abstract

Background: One of the most common complications of diabetes mellitus in lower extremity is the diabetic foot ulcer. There are numerous risk factors, among those peripheral neuropathy is the most important risk factor for diabetic foot ulceration. Objectives: To assess the diabetic foot ulcer, probable risk factors and the relationship of diabetic foot ulcer with peripheral Neuropathy. Materials and methods: This cross sectional study was done in the department of General Surgery, Rangpur Medical College Hospital, Rangpur, Bangladesh between May, 2015 to November 2015. 50 patients with diabetic foot ulcer were selected by purposive sampling method. Results: In this study, 60% of patients were above 60 years of age. 82% of patients were male and 18% were female. All patients were with uncontrolled diabetes mellitus and 80% of patients had blood glucose level between 11-20 mmol/L. HbA1c level found >7 in 68% of patients. 72% patients had history of trauma. 66% of the patients were smoker. None of the patients was alcoholic. Peripheral arterial disease was present in 24% patients. 72% patients had peripheral neuropathy. Conclusion: This study may help to raise the awareness among patients and professionals, ultimately which will help to take initiatives for early diagnosis and treatment of high risk patients. KYAMC Journal Vol. 13, No. 04, January 2023: 214-217
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糖尿病患者足部溃疡和周围神经病变的评估
背景:糖尿病下肢最常见的并发症之一是糖尿病足溃疡。糖尿病足溃疡的危险因素很多,其中周围神经病变是最重要的危险因素。目的:探讨糖尿病足溃疡的发生、可能的危险因素及与周围神经病变的关系。材料与方法:本横断面研究于2015年5月至2015年11月在孟加拉国Rangpur医学院医院普外科完成。采用目的抽样方法对50例糖尿病足溃疡患者进行回顾性分析。结果:本研究中60%的患者年龄在60岁以上。82%的患者为男性,18%为女性。所有患者均为未控制的糖尿病患者,80%的患者血糖水平在11 ~ 20 mmol/L之间。68%的患者HbA1c >7。72%的患者有外伤史。66%的患者是吸烟者。这些病人都不是酒鬼。24%的患者存在外周动脉疾病。72%的患者有周围神经病变。结论:本研究有助于提高患者和专业人员的认识,最终为高危患者的早期诊断和治疗采取主动措施。《医药学刊》第13卷第4期,2023年1月:214-217
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