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门诊环境中糖尿病周围神经病变的患病率。

The prevalence of diabetic peripheral neuropathy in an outpatient setting.

作者信息

Mimi O, Teng C L, Chia Y C

机构信息

Department of Primary Care Medicine, University of Malaya, 50603 Kuala Lumpur.

出版信息

Med J Malaysia. 2003 Oct;58(4):533-8.

Abstract

This study was undertaken to clinically estimate the prevalence of diabetic peripheral neuropathy amongst patients attending an outpatient clinic and to evaluate their risk factors for developing peripheral neuropathy. It was a cross-sectional study of 134 diabetes mellitus patients who attended the Primary Care Clinic, University Hospital, Kuala Lumpur. The patients were interviewed for their demographic data, past and present medical/surgical history, social history, personal habits and symptoms of peripheral neuropathy. Foot examination and clinical neurological tests were conducted and the presence of peripheral neuropathy was assessed. The main outcome measures were the Neuropathy Symptom Score and the Neuropathy Disability Score. The prevalence of diabetic peripheral neuropathy was found to be 50.7%. Peripheral neuropathy was related to the age of the patient and the duration of diabetes but did not seem to be significantly related to diabetic control. To conclude, there was a high prevalence of peripheral neuropathy amongst the diabetics in this study. These patients developed peripheral neuropathy at a younger age and shorter duration of diabetes compared to a similar study that was done in the UK.

摘要

本研究旨在临床评估门诊患者中糖尿病周围神经病变的患病率,并评估其发生周围神经病变的危险因素。这是一项对134名在吉隆坡大学医院初级保健诊所就诊的糖尿病患者进行的横断面研究。对患者进行了人口统计学数据、既往和当前医疗/手术史、社会史、个人习惯以及周围神经病变症状的访谈。进行了足部检查和临床神经学测试,并评估了周围神经病变的存在情况。主要结局指标为神经病变症状评分和神经病变残疾评分。发现糖尿病周围神经病变的患病率为50.7%。周围神经病变与患者年龄和糖尿病病程有关,但似乎与糖尿病控制无显著相关性。总之,本研究中糖尿病患者周围神经病变的患病率较高。与在英国进行的一项类似研究相比,这些患者在更年轻的年龄和更短的糖尿病病程时就发生了周围神经病变。

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