自主性糖尿病神经病变:简要概述
1Department of Internal Medicine, Division of Metabolism, Endocrinology, and Diabetes, University of Michigan, Ann Arbor, MI, USA.
Diabetes research and clinical practice
|January 20, 2024
概括
本综述涵盖了糖尿病自主神经病变 (DAN) 的流行病学,诊断和管理. 它强调了健康的社会决定因素对DAN的影响,强调了胃肠道和泌尿器官形式.
科学领域:
- 内分泌学和新陈代谢学
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 糖尿病自主神经病变 (DAN) 是糖尿病的一个常见并发症.
- 心血管自主神经病变是研究最多的形式,但胃肠道和泌尿器官DAN显著影响患者的结果.
- 健康的社会决定因素越来越被认为是DAN开发和管理的关键因素.
研究的目的:
- 要总结糖尿病自主神经病变 (DAN) 的当前流行病学.
- 为提供对DAN的查和诊断措施的概述.
- 讨论有效的管理策略和健康的社会决定因素对DAN的影响.
主要方法:
- 对DAN最近的流行病学数据的文献综述.
- 对DAN查和诊断当前结果措施的分析.
- 综合关于DAN管理的证据和健康的社会决定因素的作用.
主要成果:
- 远距离对称性多神经病变和心血管自主神经病变得到了充分证实.
- 新出现的数据表明,胃肠道和泌尿器官自主神经病变对医疗保健和患者报告的结果有重大影响.
- 健康的社会决定因素在DAN的发展和管理中起着至关重要的作用.
结论:
- 了解DAN的全谱,包括研究较少的形式,对于全面的患者护理至关重要.
- 有效的DAN管理需要考虑临床因素和健康的社会决定因素.
- 需要对非心血管DAN的流行病学和管理进行进一步的研究.
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