Iftikhar Mehwish, Hussain Azhar, Rizvi Amina
J Ayub Med Coll Abbottabad. 2014 Oct-Dec;26(4):584-6.
The main purpose of this study was to ascertain the frequency of peripheral diabetic neuropathy in diabetic patients and to stratify the different variants of peripheral neuropathy in patients.
Two hundred and fifty diabetic patients presenting to diabetic management centre, were included in this cross sectional study. Effect modifier (duration of diabetes) were studied through stratification. Eleven point neuropathic pain scale was used to access the extent of neuropathy.
The frequency of neuropathy in diabetic patients was 187 (74.8%). Out of 250 patients 116 (46.4 %) patients were found to have burning type of pain and 114 (45.6%) were found' to have numbness while 61 (24.4%) had tingling. Out of 250 patients 17 (6.8%) were found to have sharp pain and 55 (22%) had dullness. Out of 250 patients 44 (17.6%) had coldness. Ten patients (4%) out of 250 had sensitive type of pain. frequency of itchy type of pain was 6.4%.
The study showed that painful diabetic.neuropathy is present in majority of controlled diabetics and most of them belong to old age. It further showed that majority of sufferer were females. The most common variety of pain encountered was burning type of pain.
本研究的主要目的是确定糖尿病患者周围神经病变的发生率，并对患者周围神经病变的不同类型进行分层。
本横断面研究纳入了250名前往糖尿病管理中心就诊的糖尿病患者。通过分层研究效应修饰因素（糖尿病病程）。采用11点神经病理性疼痛量表评估神经病变的程度。
糖尿病患者神经病变的发生率为187例（74.8%）。在250例患者中，116例（46.4%）有灼痛，114例（45.6%）有麻木感，61例（24.4%）有刺痛感。在250例患者中，17例（6.8%）有锐痛，55例（22%）有钝痛。在250例患者中，44例（17.6%）有冷感。250例患者中有10例（4%）有敏感型疼痛。瘙痒型疼痛的发生率为6.4%。
研究表明，大多数血糖控制良好的糖尿病患者存在疼痛性糖尿病神经病变，且大多数患者为老年人。研究还表明，大多数患者为女性。最常见的疼痛类型是灼痛。
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