80岁及以上的墨西哥裔美国人糖尿病并发症和疼痛
Chinedu Onwudebe1, Soham Al Snih2,3, Mukaila A Raji3,4
1John Sealy School of Medicine, University of Texas Medical Branch, Galveston, Texas, USA.
Innovation in aging
|December 14, 2023
概括
糖尿病并发症显著增加老年墨西哥裔美国人的疼痛. 对于这些患者来说,有效的疼痛管理可以改善他们的生活质量并减少残疾.
科学领域:
- 老年学是一门学科.
- 流行病学 流行病学
- 糖尿病学 糖尿病学
背景情况:
- 糖尿病在西班牙裔老年人中很普遍,但疼痛与并发症的关联性尚未得到充分研究.
- 老年墨西哥裔美国人代表了糖尿病研究的重要人口统计数据.
- 疼痛是糖尿病老年人的常见和残疾症状.
研究的目的:
- 为了调查糖尿病并发症和疼痛之间的联系,超过六年.
- 分析与糖尿病状况相关的承重和疼痛干扰的疼痛.
- 为了检查这一关联,特别是在80岁及以上的墨西哥裔美国人中.
主要方法:
- 利用来自西班牙裔定居人口的数据进行老年人的流行病学研究 (HEFPA) (波7-9,2010-2016).
- 参与者被分为:没有糖尿病,没有并发症的糖尿病和有并发症的糖尿病.
- 使用通用估计方程来模拟随时间推移的疼痛概率,控制共变量.
主要成果:
- 与没有糖尿病的人相比,没有并发症的糖尿病患者的疼痛概率较低.
- 在糖尿病参与者中,患有并发症的参与者在承重和疼痛干扰时疼痛的几率明显更高.
- 与没有并发症的人相比,患有微型和宏观血管并发症的糖尿病人患疼痛的几率是两倍以上.
结论:
- 最佳的糖尿病管理可以减少没有并发症的人的疼痛负担.
- 对于患有糖尿病并发症的患者来说,例行疼痛查和治疗至关重要,以提高生活质量和减轻残疾.
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