患有糖尿病和没有糖尿病的人因疹而入院:一项为期10年的观察性研究
Carlo B Giorda1, Roberta Picariello2, Barbara Tartaglino3
1Metabolism and Diabetes Unit, ASL TO5, Regione Piemonte, Chieri, Italy.
Diabetes research and clinical practice
|March 9, 2024
概括
糖尿病显著增加了对疹 (HZ) 的住院治疗,也称为带状疹. 控制糖尿病患者的血糖和其他危险因素对于预防严重并发症和减少糖尿病负担至关重要.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 疹疹 (HZ) 造成了严重的健康负担,特别是在脆弱人群中.
- 糖尿病是一种日益严重的全球健康问题,对传染病易感性有潜在影响.
- 了解糖尿病和HZ住院之间的相互作用对于有针对性的公共卫生干预措施至关重要.
研究的目的:
- 在意大利皮埃蒙特 (2010-2019) 调查糖尿病和疹疹 (HZ) 住院病例之间的关联.
- 为了比较糖尿病人与非糖尿病人群中的HZ住院率.
- 确定糖尿病患者中HZ住院的特定风险因素,以告知预防策略.
主要方法:
- 采用了两阶段的研究设计.
- 从2010年到2019年,糖尿病人和非糖尿病人的年龄标准化HZ住院率进行了比较.
- 在由区域糖尿病诊所管理的糖尿病患者队列中分析了HZ住院的风险因素.
主要成果:
- 糖尿病患者占3,423个HZ住院病例的17.9%,比非糖尿病患者的比例更高.
- 糖尿病患者HZ住院的主要风险因素包括65岁以上的年龄,肥胖 (BMI> 30) 和血糖控制不佳 (HbA1c> 8.0%).
- 糖尿病患者在HZ后面临40%的再住院风险增加和25%的严重并发症 (例如中风,心肌梗塞) 风险增加.
结论:
- 糖尿病大大增加了HZ住院,再住院和严重并发症的风险.
- 在高危糖尿病患者中改善血糖控制对于减轻HZ的影响至关重要.
- 这些发现支持了加强公共卫生政策和临床实践的需要,以保护糖尿病患者群体免受HZ的侵害.
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