Kermani Zahra Haeri, Bazzaz Seyed Mojtaba Mousavi, Farahmand Seyed Kazem, Raoof Ali Akbar
MD, MPH, General Practitioner, Mashhad University of Medical Sciences, Health Centre 3, 24th Akhud Khorasani Street, Mashhad, Iran.
Associate Professor of Community Medicine and Public Health, Department of Community Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Electron Physician. 2017 Nov 25;9(11):5848-5853. doi: 10.19082/5848. eCollection 2017 Nov.
Musculoskeletal disease, that is recognized in diabetes and diabetes mellitus (DM) has shown a higher prevalence of chronic musculoskeletal complications. This study aimed at assessing the frequency of upper limb musculoskeletal disorders among patients with diabetes type II with normal cases in Mashhad, Iran.
A cross-section of 100 patients with upper limb musculoskeletal disorders were enrolled in this study. The patients were examined by a unique physician considering carpal tunnel syndrome disorder, trigger finger, adhesive capsulitis, and Dupuytren's contracture at Ghaem hospital, Mashhad, Iran in 2015. All collected data were recorded by using SPSS version 21 and were analyzed through independent-samples t-test for comparing changes, and Chi-square.
In this study, the mean age was 51.7±8.7 years old. Gender frequency was 114 (57%) male, and 86 (43%) female. There was no significant difference between groups in cases of gender frequency and mean of age (p>0.05). In evaluation of association between the two groups, there was significant difference for adhesive capsulitis, (p=0.04). Chi-square test showed significant association for age and adhesive capsulitis between the two groups, (p=0.040); but no other diabetes-related disorders, (p<0.05).
The results of this study showed that in patients with diabetes mellitus and musculoskeletal complications such as upper limb musculoskeletal abnormalities, it will lead to an increase in skeletal muscle effects in DM patients. It is recommended that musculoskeletal examination is done periodically in DM patients for identification of these disorders and necessary actions are carried out for prevention of the disorders as soon as possible.
在糖尿病及糖尿病 mellitus（DM）中被认识到的肌肉骨骼疾病已显示出慢性肌肉骨骼并发症的较高患病率。本研究旨在评估伊朗马什哈德地区 II 型糖尿病患者与正常病例中上肢肌肉骨骼疾病的发生频率。
本研究纳入了 100 例患有上肢肌肉骨骼疾病的患者。2015 年，在伊朗马什哈德的加姆医院，由一名医生对患者进行检查，考虑腕管综合征、扳机指、粘连性囊炎和杜普伊特伦挛缩。所有收集的数据使用 SPSS 21 版本进行记录，并通过独立样本 t 检验分析变化情况，以及卡方检验。
在本研究中，平均年龄为 51.7±8.7 岁。性别频率为男性 114 例（57%），女性 86 例（43%）。两组在性别频率和平均年龄方面无显著差异（p>0.05）。在评估两组之间的关联时，粘连性囊炎存在显著差异（p=0.04）。卡方检验显示两组之间年龄与粘连性囊炎存在显著关联（p=0.040）；但与其他糖尿病相关疾病无关联（p<0.05）。
本研究结果表明，在患有糖尿病及肌肉骨骼并发症（如上肢肌肉骨骼异常）的患者中，这会导致糖尿病患者骨骼肌效应增加。建议对糖尿病患者定期进行肌肉骨骼检查，以识别这些疾病，并尽快采取必要措施预防这些疾病。
