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2型糖尿病患者足部并发症的患病率:乌杜皮农村地区的一项基于社区的调查

Prevalence of Foot Complications in People With Type 2 Diabetes Mellitus: A Community-Based Survey in Rural Udupi.

作者信息

Maiya Arun Gundmi, Gundmi Shubha, Matpady Prabhath, Jadhav Radhika, Lingadakai Ramachandra, Hande Manjunatha, Kamath Veena G, Shivashankar K N, Chinmayee P, Hazari Animesh, Shastri Nagarathna, Hande Rohini, Loftager Mads Mundt, Veluswamy Sundar Kumar, Jude Edward

机构信息

1 Manipal Academy of Higher Education, Udupi, Karnataka, India.

2 Taluka Health Office, Udupi, Karnataka, India.

出版信息

Int J Low Extrem Wounds. 2018 Sep;17(3):169-175. doi: 10.1177/1534734618791853. Epub 2018 Aug 16.

Abstract

The objective of the study was to determine the prevalence of foot complications among people with type 2 diabetes mellitus in the rural part of Udupi district, Karnataka, India. A cross-sectional observational study design was conducted in the rural area of Udupi district. In the study, accredited social health activists were trained to screen people with type 2 diabetes mellitus for diabetic foot complications at a community level. Adults over 35 years of age were screened for the presence of type 2 diabetes mellitus by accredited social health activists who reside in the rural part of Udupi district. Participants with type 2 diabetes mellitus were included in the study. Blood glucose level was measured using a glucometer. Foot examination was done by visual inspection, monofilament, tuning fork, and pedal pulse. In the present study, 2110 among the total participants were found to have type 2 diabetes mellitus. The prevalence of musculoskeletal foot complications was 1218 (58%), vascular problem 466 (22.2%), sensory neuropathy 634 (30.2%), autonomic neuropathy 1729 (81.9%), ulcer 134 (6.38%), and infection 561 (26.7%) among people with type 2 diabetes mellitus. In the current study, we found 84.7% of people residing in rural Udupi had type 2 diabetes mellitus. Hence, there is a strong need to create awareness about diabetic foot care in these people.

摘要

该研究的目的是确定印度卡纳塔克邦乌度皮区农村地区2型糖尿病患者足部并发症的患病率。在乌度皮区农村地区开展了一项横断面观察性研究。在该研究中,经过培训的认证社会健康活动家在社区层面筛查2型糖尿病患者的糖尿病足并发症。居住在乌度皮区农村的认证社会健康活动家对35岁以上成年人进行2型糖尿病筛查。2型糖尿病患者被纳入研究。使用血糖仪测量血糖水平。通过目视检查、单丝检查、音叉检查和足背动脉搏动检查进行足部检查。在本研究中,共发现2110名参与者患有2型糖尿病。2型糖尿病患者中肌肉骨骼足部并发症的患病率为1218例(58%),血管问题466例(22.2%),感觉神经病变634例(30.2%),自主神经病变1729例(81.9%),溃疡134例(6.38%),感染(561例,26.7%)。在当前研究中,我们发现居住在乌度皮农村地区84.7%的人患有2型糖尿病。因此,迫切需要提高这些人群对糖尿病足护理的认识。

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