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糖尿病患者周围神经病变、截肢和生活质量的患病率。

Prevalence of peripheral neuropathy, amputation, and quality of life in patients with diabetes mellitus.

机构信息

School of Allied Health Sciences, CMH Lahore Medical College & Institute of Dentistry, (NUMS Rawalpindi), Lahore, Pakistan.

Department of Physical Therapy, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

出版信息

Sci Rep. 2024 Jun 23;14(1):14430. doi: 10.1038/s41598-024-65495-2.

DOI:10.1038/s41598-024-65495-2
PMID:38910161
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11194260/
Abstract

Peripheral neuropathy and amputation are common complications of diabetes mellitus (DM) that significantly impact the quality of life of the affected individuals. This study aims to investigate the prevalence of peripheral neuropathy, the level of amputation, and the quality of life in patients with DM. This cross-sectional study was conducted after approval of the synopsis involving 225 diagnosed patients with DM on pre-defined eligibility criteria, selected from public sector OPDs, specialized diabetes centres, and centres manufacturing orthotics and prosthetics. Data were collected through interviews, observations, and the administration of the Michigan Neuropathy Screening Instrument and the Asian Diabetes Quality of Life Questionnaire. The level of amputation was recorded for each participant. Data was entered into SPSS, and results were synthesized. Pearson correlation is applied to find an association between gender and the quality of life of the participants, while P ≤ 0.05 will be considered significant. The prevalence of peripheral neuropathy in a sample of 225, based on a self-administered questionnaire, was (44.4%), and in terms of foot examination was (51.1%). As people progressed in age, the prevalence increased to 20.0% in patients above 60 years and 8.9% in ≤ 35 years of age. The majority of participants (56.0%) have had DM for less than five years. Females were 57.8% of the study population, while 97.8% of participants had type II DM. Below-knee amputation of the right limb was observed in 22(9.8%) of the participants. The QoL was poor in the majority of the participants (96.9%) patients with DM (P = 0.638 and T = -0.471). This cross-sectional study highlights a high prevalence of peripheral neuropathy and amputation and poor QoL in patients with diabetic mellitus.

摘要

周围神经病变和截肢是糖尿病(DM)的常见并发症,严重影响受影响个体的生活质量。本研究旨在调查 DM 患者周围神经病变的患病率、截肢水平和生活质量。这项横断面研究在获得批准后进行,涉及根据预定义的纳入标准从公共部门门诊、专门的糖尿病中心和制造矫形和假肢的中心选择的 225 名确诊为 DM 的患者。通过访谈、观察以及密歇根神经病变筛查工具和亚洲糖尿病生活质量问卷的管理收集数据。为每位参与者记录了截肢水平。将数据输入 SPSS 并综合结果。应用 Pearson 相关性来发现参与者性别与生活质量之间的关联,而 P ≤ 0.05 将被认为具有统计学意义。根据自我管理问卷,在 225 名样本中周围神经病变的患病率为(44.4%),根据足部检查为(51.1%)。随着年龄的增长,患病率在 60 岁以上的患者中增加到 20.0%,在≤35 岁的患者中增加到 8.9%。大多数参与者(56.0%)的糖尿病病程不足五年。女性占研究人群的 57.8%,97.8%的参与者患有 2 型糖尿病。在 22 名参与者(9.8%)中观察到右下肢膝下截肢。大多数 DM 患者(96.9%)的生活质量较差(P = 0.638 和 T = -0.471)。这项横断面研究强调了糖尿病患者周围神经病变、截肢和生活质量差的高患病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52e3/11194260/4600ceb832ac/41598_2024_65495_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52e3/11194260/fc5c8181563e/41598_2024_65495_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52e3/11194260/1a46cf4fa725/41598_2024_65495_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52e3/11194260/b1755cd28d9a/41598_2024_65495_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52e3/11194260/4600ceb832ac/41598_2024_65495_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52e3/11194260/fc5c8181563e/41598_2024_65495_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52e3/11194260/1a46cf4fa725/41598_2024_65495_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52e3/11194260/b1755cd28d9a/41598_2024_65495_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52e3/11194260/4600ceb832ac/41598_2024_65495_Fig4_HTML.jpg

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