Lavela Sherri L, Weaver Frances M, Goldstein Barry, Chen Ke, Miskevics Scott, Rajan Suparna, Gater David R
Spinal Cord Injury Quality Enhancement Research Initiative, Midwest Center for Health Services and Policy Research, Department of Veterans Affairs, Edward Hines Jr. VA Hospital, Hines, Illinois 60141, USA.
J Spinal Cord Med. 2006;29(4):387-95. doi: 10.1080/10790268.2006.11753887.
BACKGROUND/OBJECTIVE: To examine diabetes prevalence, care, complications, and characteristics of veterans with a spinal cord injury or disorder (SCI/D).
A national survey of veterans with an SCI/D was conducted using Behavioral Risk Factor Surveillance System (BRFSS) survey questions. Data were compared with national Centers for Disease Control and Prevention BRFSS data for veteran and nonveteran general populations.
Overall prevalence of diabetes in individuals with an SCI/D was 20% (3 times higher than in the general population). Veterans with an SCI/D and veterans, in general, had a higher prevalence of diabetes across all age groups; however, those with an SCI/D who were 45 to 59 years of age had a higher prevalence than other veterans. One fourth of the persons with an SCI/D and diabetes reported that diabetes affected their eyes or that they had retinopathy (25%), and 41% had foot sores that took more than 4 weeks to heal. More veterans, both with (63%) and without an SCI/D (60%), took a class on how to manage their diabetes than the general population (50%). Veterans with an SCI/D and diabetes were more likely to report other chronic conditions and poorer quality of life than those without diabetes.
Diabetes prevalence is greater among veterans with an SCI/D compared with the civilian population, but is similar to that of other veterans, although it may occur at a younger age in those with an SCI/D. Veterans with an SCI/D and diabetes reported more comorbidities, more slow-healing foot sores, and poorer quality of life than those without diabetes. Efforts to prevent diabetes and to provide early intervention in persons with SCI/D are needed.
背景/目的：研究脊髓损伤或疾病（SCI/D）退伍军人的糖尿病患病率、护理情况、并发症及特征。
使用行为危险因素监测系统（BRFSS）的调查问卷对患有SCI/D的退伍军人进行全国性调查。将数据与美国疾病控制与预防中心BRFSS中退伍军人及非退伍军人普通人群的数据进行比较。
患有SCI/D的个体中糖尿病总体患病率为20%（是普通人群的3倍）。患有SCI/D的退伍军人以及总体退伍军人在所有年龄组中糖尿病患病率均较高；然而，45至59岁患有SCI/D的退伍军人患病率高于其他退伍军人。四分之一患有SCI/D和糖尿病的人报告称糖尿病影响了他们的眼睛或患有视网膜病变（25%），41%的人有足部溃疡且愈合时间超过4周。与普通人群（50%）相比，更多患有（63%）和未患有SCI/D（60%）的退伍军人参加了糖尿病管理课程。与未患糖尿病的退伍军人相比，患有SCI/D和糖尿病的退伍军人更有可能报告其他慢性病且生活质量较差。
与普通人群相比，患有SCI/D的退伍军人中糖尿病患病率更高，但与其他退伍军人相似，尽管SCI/D患者可能在更年轻的时候发病。与未患糖尿病的退伍军人相比，患有SCI/D和糖尿病的退伍军人报告的合并症更多、足部溃疡愈合更慢且生活质量更差。需要努力预防糖尿病并对患有SCI/D的人进行早期干预。
