李欣仪,周秋红,戴薇薇,罗文静,赵楠,叶莹,许景灿,喻玲,付小爱.2型糖尿病患者周围神经病变现状及影响因素分析[J].上海护理,2021,21(12):
2型糖尿病患者周围神经病变现状及影响因素分析
The Status Quo and Influencing Factors of Peripheral Neuropathy among Patients with Type 2 Diabetes Mellitus
DOI:
中文关键词:  2型糖尿病  糖尿病周围神经病变  影响因素
英文关键词:Type 2 diabetes mellitus  Diabetic peripheral neuropathy  Influencing factors
基金项目:基于微信平台的团队延续性护理对改善老年痴呆患者家庭照顾者照顾负担的效果评价
作者单位E-mail
李欣仪 中南大学湘雅医院 905492390@qq.com 
周秋红* 中南大学湘雅医院 928555448@qq.com 
戴薇薇 中南大学湘雅医院  
罗文静 中南大学湘雅医院  
赵楠 中南大学湘雅医院  
叶莹 中南大学湘雅医院  
许景灿 中南大学湘雅医院  
喻玲 中南大学湘雅医院  
付小爱 中南大学湘雅医院  
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中文摘要:
      目的 了解湖南省2型糖尿病患者周围神经病变现状,并分析其影响因素。方法 采取便利抽样法,选择2019年11月16—20日湖南省32家二级、三级综合性医院内分泌科1043名2型糖尿病患者为研究对象。采用自制调查表对其进行调查。通过2检验和二分类logistic回归分析2型糖尿病患者周围神经病变的影响因素。结果 55.99%(584/1043)的2型糖尿病患者存在周围神经病变。二分类Logistic回归分析发现,糖尿病病程、糖尿病视网膜病变、糖尿病下肢血管病变、高脂血症是2型糖尿病患者周围神经病变的危险因素(均P<0.05)。结论 2型糖尿病患者周围神经病变时点患病率较高,糖尿病病程、糖尿病视网膜病变、糖尿病下肢血管病变、高脂血症是2型糖尿病患者周围神经病变的危险因素。临床医护人员应提高糖尿病患者周围神经病变重视度及筛查力度,并早期干预相关危险因素。
英文摘要:
      Objective To investigate the peripheral neuropathy status of the patients with type 2 diabetes mellitus and analyze the influencing factors. Methods A total of 1043 patients with type 2 diabetes mellitus in the Endocrinology Departments of 32 secondary and tertiary general hospital in different areas of Hunan Province were selected by convenience sampling and investigated by a self-made questionnaire from November 16th to 20th in 2019.The influencing factors of peripheral neuropathy in patients with type 2 diabetes mellitus were analyzed by 2 test and binary logistics regression.Results The prevalence of diabetic peripheral neuropathy was 55.99%(584/1043)among the patients diagnosed with type 2 diabetes mellitus.Binary logistic regression analysis showed that the risk factors affecting diabetic peripheral neuropathy included diabetes course, diabetic retinopathy,diabetic lower-extremity arterial disease and hyperlipidemia neuropathy(all P<0.05).Conclusion So the patients with type 2 diabetes mellitus have a high point prevalence rate of peripheral neuropathy,the risk factors affecting diabetic peripheral neuropathy included diabetes course,diabetic retinopathy,diabetic lower-extremity arterial disease and hyperlipidemia neuropathy.Clinical medical staff should strengthen the attention and screening of peripheral neuropathy, and take intervention of related risk factors early.
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