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刘阳, 文涛, 于世家. 糖尿病周围神经病变相关影响因素分析[J]. 中国公共卫生, 2015, 31(5): 682-684. DOI: 10.11847/zgggws2015-31-05-42
引用本文: 刘阳, 文涛, 于世家. 糖尿病周围神经病变相关影响因素分析[J]. 中国公共卫生, 2015, 31(5): 682-684. DOI: 10.11847/zgggws2015-31-05-42
LIU Yang, WEN Tao, YU Shi-jia. Influential factors of diabetic peripheral neuropathy[J]. Chinese Journal of Public Health, 2015, 31(5): 682-684. DOI: 10.11847/zgggws2015-31-05-42
Citation: LIU Yang, WEN Tao, YU Shi-jia. Influential factors of diabetic peripheral neuropathy[J]. Chinese Journal of Public Health, 2015, 31(5): 682-684. DOI: 10.11847/zgggws2015-31-05-42

糖尿病周围神经病变相关影响因素分析

Influential factors of diabetic peripheral neuropathy

  • 摘要: 目的探讨2型糖尿病周围神经病变(DPN)发生的影响因素, 为DPN的预防和治疗提供理论依据。方法随机抽取2012年5月—2014年5月于辽宁中医药大学附属医院内分泌科住院的128例2型糖尿病患者, 根据是否合并DPN将其中51例作为DPN组、77例作为非DPN组, 比较2组患者的临床基本资料, 分析DPN的相关影响因素。结果128例2型糖尿病患者中, DPN检出率为39.8%;DPN组与NDPN组患者比较, 年龄、病程、体质指数(BMI)、吸烟、运动情况以及收缩压、空腹血糖(FPG)、餐后2h血糖(2hPG)、糖化血红蛋白(HbA1c)、空腹胰岛素(FINS)、餐后2小时胰岛素(2hINS)、空腹C肽(FC-P)、餐后2小时C肽(2hC-P)差异均有统计学意义(均P<0.05);多因素条件logistic回归分析结果显示, 糖尿病病程较长、吸烟、BMI较高、HbAlc较高、2hPG较高是DPN发生的危险因素, 2hC-P是DPN发生的保护因素。结论2型糖尿病患者中DPN的患病率较高, 糖尿病病程、吸烟、HbA1c、BMI、2hPG、2hC-P是DPN发生的主要影响因素。

     

    Abstract: ObjectiveTo explore influential factors of diabetic peripheral neuropathy(DPN) and to provide evidences for clinical treatment and prevention of DPN.MethodsFrom May 2012 through May 2014,128 cases of type 2 diabetes were enrolled randomly from the endocrine department of a hospital.The patients were divided into DPN group(51) and non-DPN group(77)according to peripheral neuropathy.The basic clinical data of the cases were collected and compared between two groups to analyze the influential factors of DPN.ResultsThe prevalence of DPN was 39.8% among the 128 patients.Age,duration of diabetes,body mass index(BMI),smoking,physical exercise,systolic blood pressure,fasting plasma glucose(FPG),2-hour postprandial plasma glucose(2hPG),glycosylated hemoglobin(HbA1c),fasting plasma insulin(FINS),2-hour postprandial insulin(2hINS),fasting C peptide(FC-P),and 2-hour postprandial C peptide(2hC-P) were significantly different between the two groups(P<0.05).Multivariate logistic regression analysis revealed that duration of diabetes,smoking,HbA1c,BMI,and 2hPG were positively correlated with DPN prevalence and were independent risk factors of DPN; whereas 2hC-P was negatively correlated with DPN prevalence and was an independent protective factor of DPN.ConclusionThe occurrence of DPN is high in patients with type 2 diabetes.The duration of diabetes,smoking,HbA1c,BMI,2hPG,and 2hC-P are influential factors of DPN.

     

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