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首页> 外文期刊>International Journal of Research in Medical Sciences >A study on the impact of smoking and alcoholism as determinant factors in the prognosis and outcome of diabetic foot ulcer disease
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A study on the impact of smoking and alcoholism as determinant factors in the prognosis and outcome of diabetic foot ulcer disease

机译：吸烟和酒精中毒作为决定因素在糖尿病足溃疡疾病预后和预后中的作用研究

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Background: This is an observational study to determine the relation between the life style factors like smoking and chronic alcoholism with the severity of the diabetic foot ulcer disease; its implications and prognosis and outcome with particular reference to the incidence of amputation and the duration of the hospital stay. This study was done in 89 patients who were admitted in the surgical wards of two large private medical colleges in India: KPC Medical College and Hospital, Kolkata, West Bengal and Bhaskar Medical College and Hospital, Yenkepally Village, Ranga Reddy District, Telengana. In our study, we explored the relationship between two determinant factors - smoking and chronic alcoholism with the increased incidence of amputation and prolonged hospital stay in a diabetic cohort. It has been found from this study that the severity of diabetic foot ulcer disease is more in patients who were addicted to either smoking, alcohol or both. Methods: The study was done on 89 patients who were admitted in the surgical wards of the following teaching hospitals in India - KPC Medical College and Hospital which deals mostly with middle income group of urban population (Rs.7594 to 15188) and Bhaskar Medical College and Hospital which deals mostly with low income group of semi-urban population (Rs.4556 to 11361) as per Kuppuswamy's socio-economic status scale (updating for 2012). The youngest patient was from semi-urban area aged 26 years and the oldest patient was from urban area aged 83 years. The outcome and prognosis of the diabetic foot ulcer disease were assessed with the incidence of amputation and duration of hospital stay in relation to the two determinant factors of smoking and alcoholism. Results: The diabetic patients who were smokers and/or chronic alcoholic underwent more amputations with concomitant longer hospital stay than the patients who had no addiction to these substances. The prognosis was worse in the subgroup of patients who were both smoker and chronic alcoholic. Conclusions: The study observed that the prognosis and outcome of a diabetic foot ulcer disease changes significantly in patients who are addicted to smoking and alcoholism with higher incidence of amputation and longer hospital stay.
机译：背景：这是一项观察性研究，旨在确定吸烟和慢性酒精中毒等生活方式因素与糖尿病足溃疡疾病严重程度之间的关系;其含义，预后和结果，尤其是截肢的发生率和住院时间。这项研究是在印度两家大型私立医学院的外科病房中入院的89名患者中完成的：印度西孟加拉邦加尔各答的KPC医学院和医院，以及德伦加纳Ranga Reddy区Yenkepally村的Bhaskar医学院和医院。在我们的研究中，我们探讨了两个决定性因素之间的关系-吸烟和慢性酒精中毒与糖尿病队列中截肢率的增加和住院时间的延长有关。从这项研究中发现，无论是吸烟，饮酒还是两者都上瘾的患者，糖尿病足溃疡的严重程度更高。方法：该研究是针对印度以下教学医院的KPC医学院和医院（主要处理城市人口中等收入群体（7594至15188卢比）和Bhaskar医学院）的89例患者，这些患者在印度以下教学医院的外科病房接受了治疗根据库普斯瓦米（Kuppuswamy）的社会经济地位量表（2012年更新），医院主要处理低收入的半城市人口（4556至11361卢比）。最年轻的患者来自26岁的半城市地区，最大的患者来自83岁的城市地区。根据截肢的发生率和住院时间与吸烟和酒精中毒的两个决定因素相关，评估糖尿病足溃疡病的预后。结果：吸烟和/或慢性酒精中毒的糖尿病患者比没有对这些物质成瘾的患者进行更多的截肢手术，同时住院时间更长。吸烟者和慢性酒精中毒患者亚组的预后较差。结论：该研究观察到，吸烟和酗酒成瘾，截肢发生率更高，住院时间更长的患者，糖尿病足溃疡病的预后和预后将发生显着变化。

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