糖尿病患者慢性病进展:一般医疗实践中的真实世界数据
Michelangelo Rottura1, Selene Francesca Anna Drago1, Viviana Maria Gianguzzo2
1Department of Clinical and Experimental Medicine, University of Messina, Via C. Valeria, 98125, Messina, Italy.
Heliyon
|May 20, 2024
概括
糖尿病患者需要仔细监测功能,因为诸如心力衰竭和糖尿病持续时间等因素会影响膜过率 (GFR). 定期的GFR评估对于管理糖尿病病至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 糖尿病学 糖尿病学
- 一般实践一般实践
背景情况:
- 糖尿病病是糖尿病的主要并发症.
- 一般医生 (GPs) 在治疗糖尿病患者方面发挥着关键作用.
- 监测膜过率 (GFR) 对于早期发现功能障碍至关重要.
研究的目的:
- 为了分析由全科医生管理的糖尿病患者的淋巴膜过率 (GFR) 的变化.
- 在这个人群中确定与功能下降相关的风险因素.
主要方法:
- 545名糖尿病患者的肌素和估计的GFR (eGFR) 值的回顾性分析.
- 计算eGFR的季度百分比变化.
- 识别毒和降糖药物的使用.
- 线性回归用于确定eGFR变化的预测因素.
主要成果:
- 大多数患者在G1-G3a阶段具有eGFR (84.6%).
- 降血糖 (87.9%) 和毒药物 (96.1%) 的使用率很高,特别是质子抑制剂和NSAIDs.
- 心力衰竭,糖尿病持续时间延长和基线GFR保持与随着时间的推移降低eGFR有关.
结论:
- 糖尿病患者需要密切的临床观察,无论基线功能或已确定的风险因素.
- 积极主动管理和定期GFR监测在初级保健机构中至关重要.
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