Revista: | Acta cirurgica brasileira |
Base de datos: | PERIÓDICA |
Número de sistema: | 000271767 |
ISSN: | 0102-8650 |
Autores: | Chacon, Damaso de Araujo1 Chaves, Andrea Dore da Silva Magalhaes Duarte, Raquel Amorim Garcia, Carlos Alexandre de Amorim Medeiros, Aldo da Cunha |
Instituciones: | 1Universidade Federal do Rio Grande do Norte, Centro de Ciencias da Saude, Natal, Rio Grande do Norte. Brasil |
Año: | 2005 |
Volumen: | 20 |
Paginación: | 3-7 |
País: | Brasil |
Idioma: | Portugués |
Tipo de documento: | Estadística o encuesta |
Enfoque: | Analítico |
Resumen en inglés | PURPOSE: To identify diabetic foot abnormal changes caused by microvascular events and fundoscopy eye lesions due to diabetic retinopathy. METHODS: A survey was performed with 76 diabetic patients from the Hospital Onofre Lopes out-patient department of ophtalmology and vascular surgery. To evaluate the diabetic foot the patients were submmited to an individual interview using Fontaine classification. The vascular test used was Semmes-Weinstein monofilament. Refraction and eye fundoscopy were acomplished in all patients to arrange the diabetic retinopathy.The study results consisted in characterized the group as age,time of disease and glicose level. The second analyse was performed with association tests among the selected secondary study results. " Statística Versão 5,1997 " was the software available. RESULTS: From 76 diabetics patients 97% had age higher than 40 years. 65% had more than 10 years of time disease. 72,72% obtained glicose level>100mg/dl. 55,5% had some degree of diabetic retinopathy against 44,74% had not. About the diabetic foot abnormalities, 59,93% had ischemic damages and 41,07% had not signs. 58,82% had neuropathic foot and there were 41,18% patients without diabetic neuropathy signs. Talking about the diabetic retinopathy population, 78,57% had ischemic foot and 47,62% had neuropathic foot. It was seen 80% of no proliferative diabetic retinopathy in all diabetics foot ( isquemic and neuropathic).The patients with retinopathy 60,46% of them had foot biomechanics abnormalities. CONCLUSION: Light no proliferative diabetic retinopathy was most common in patients with ischemic diabetic foot. The severe no proliferative diabetic retinopathy was most common in patients with neuropathic diabetic foot |
Resumen en portugués | tinham algum grau de neuropatia diabética. Observou-se que a retinopatia diabética não proliferativa, nos seus diversos graus de comprometimento apresentou-se com percentuais em torno de 80% junto às lesões do pé diabético, seja isquêmico ou neuropático. Dos pacientes que tinham retinopatia 60,46% tinham alterações biomecânicas dos pés. CONCLUSÃO: Concluiu-se que a RDNP leve foi mais freqüente nas lesões do pé diabético isquêmico, enquanto a RDNP severa mostrou-se mais presente no pé diabético neuropático |
Disciplinas: | Medicina |
Palabras clave: | Metabolismo y nutrición, Neurología, Oftalmología, Neuropatía diabética, Retinopatía diabética, Microangiopatía, Pie diabético, Diabetes, Complicaciones |
Keyword: | Medicine, Metabolism and nutrition, Neurology, Ophthalmology, Diabetic neuropathy, Diabetic retinopathy, Microangiopathy, Diabetic foot, Diabetes, Complications |
Texto completo: | Texto completo (Ver HTML) |