Screening analysis of high-risk population of elderly diabetes foot based on ZIS-PROTECT study
Objective:To analyze the screening results of the diabetes foot high-risk population with type 2 diabetes patients,to understand the prevalence of peripheral nerve,and vascular disease and influence factors in diabetes population.Methods:Three hundred and twelve patients aged 60 and above with type 2 diabetes who were registered and managed by Lvxiang Community Health Service Center of Jinshan District,Shanghai were selected.After obtaining informed consent,the patients participated in the ZIS PROTECT study.The diabetes foot screening box,foot 3D scanner,and foot pressure measuring device were used for screening and analyzing the combined factors affecting diabetes foot.Results:The detection rate of peripheral neuropathy was 7.37%,the detection rate of lower limb artery disease was 5.77%,the detection rate of mixed lesions was 1.28%.The total detection rate of diabetes foot high-risk was 14.42%.The prevalence of age,hip circumference,renal function(serum creatinine and serum urea nitrogen),serum albumin and glycosylated hemoglobin in the high risk group of diabetes foot was significantly higher(P＜0.05).The results of binary logistic regression analysis showed that the years of illness(OR:1.059,95%CI:1.014-1.106),age(OR:1.063,95%CI:1.004-1.125),and albumin(OR:0.895,95%CI:0.802-0.998)were related to high risk of diabetes foot.Conclusion:Ultrasonic examination of lower limb blood vessels is indispensable in screening high-risk population of diabetes foot;the years of illness,and age are the diabetes foot high-risk factors,serum albumin is the protecting factors for the diabetes foot high-risk.
type 2 diabeteselderly peoplechronic complicationdiabetic footscreening
NETL
NSTL
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