2型糖尿病患者手部异常和糖尿病视网膜病变之间的关系
Feyzahan Uzun1, Hüseyin Fındık1, Muhammet Kaim1
1Department of Ophthalmology, School of Medicine, Recep Tayyip Erdogan University, 53100 Rize, Turkey.
Journal of clinical medicine
|November 27, 2024
概括
手中的糖尿病多神经病变 (PNP) 可能表明2型糖尿病患者的糖尿病视网膜病变 (DR). 早期发现手部异常,特别是PNP,对于识别患有DR风险的患者至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 眼科医生 眼科 眼科
- 神经学 神经学
背景情况:
- 糖尿病 (DM) 与手部病理有关.
- 糖尿病视网膜病变 (DR) 是DM的一个常见的微血管并发症.
- 在2型DM患者中,手部异常和DR之间的关系需要进一步研究.
研究的目的:
- 调查2型糖尿病患者手部异常和视网膜病变之间的关联.
- 确定特定的手部状况是否可以作为糖尿病视网膜病变的指标.
主要方法:
- 60名2型糖尿病患者接受了手部异常 (触觉,功能,感觉测试) 的评估.
- 评估了手掌道综合征和多神经病 (PNP) 的电子诊断测试.
- 眼科检查诊断出糖尿病视网膜病变 (DR);快速DASH问卷评估了残疾和生活质量.
主要成果:
- 60名患者中有15名 (25%) 患有DR.
- 与没有DR的患者 (86.86个月) 相比,DR患者的DM平均持续时间更长 (144.75个月).
- 糖尿病多神经病 (PNP) 是唯一与视网膜病变相关的显著手部异常 (p=0.011).
结论:
- 糖尿病多神经病变 (PNP) 可能作为糖尿病视网膜病变 (DR) 的早期指标,特别是在长期糖尿病中.
- 手部异常,特别是PNP,在糖尿病患者中需要注意,因为它们与DR有关.
- 这凸显了综合治疗糖尿病并发症的重要性.
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