在内源性库辛综合征期间的代谢障碍:患病率,相关因素和缓解后的结果
Melika Chihaoui1, Ibtissem Oueslati1, Nadia Khessairi1
11Department of Endocrinology, University Hospital La Rabta, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
像肥胖和高血压这样的代谢障碍在库辛综合征 (CS) 中很常见. 脑筋神经系统的缓解显著改善高血压和糖尿病,但不能改善脂质障碍症,强调需要持续管理.
科学领域:
- 内分泌学 在内分泌学.
- 心血管医学 心血管医学
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 库辛综合征 (CS) 与心血管疾病发病率和死亡率的增加有关.
- 了解CS中代谢障碍的患病率和缓解对于患者的预后至关重要.
研究的目的:
- 为了确定患有库辛综合征的患者代谢障碍的患病率.
- 确定与这些疾病相关的因素.
- 评估CS缓解后代谢障碍的缓解率.
主要方法:
- 对75例库辛综合征病例 (1987-2018) 的回顾性研究.
- 从医疗档案中收集的数据,包括临床和准临床信息.
- 对治疗后代谢障碍流行率和缓解率的分析.
主要成果:
- 在CS诊断时,肥胖 (52%),高血压 (75%),糖尿病 (43%),脱脂症 (83%) 和代谢综合征 (73%) 的高患病率.
- 在年龄,性别,BMI,腰围或基线皮质醇和糖尿病,高血压或脂质失调的存在之间没有发现显著的关联.
- 在CS缓解后,缓解率为高血压的58%,糖尿病的76%,但仅为脂质失调的17%.
结论:
- 代谢障碍在库辛综合征中非常普遍.
- 成功的CS缓解导致高血压和糖尿病的显著改善.
- 失脂症的缓解显著低,表明即使在CS控制后,也需要继续管理.
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