战争对Tigray地区糖尿病患者的后果,埃塞俄比亚:一项纵向研究
Mehari Gebre Teklezgi1, Mengstu Berhe Tekle2, Gebru Gebremeskel Gebrerufael3
1Department of Public Health, College of Medicine and Health Sciences, Adigrat University, P.O. Box 50, Adigrat, Tigray, Ethiopia. meharistat@gmail.com.
BMC endocrine disorders
|January 13, 2025
概括
战争显著影响糖尿病患者的血糖控制. 在冲突期间获得药物和胰岛素的限制导致糖尿病管理不良和糖分水平升高.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 全球糖尿病病例的增加,特别是在低收入和中等收入国家.
- 随着患病率的增加,需要了解影响糖尿病管理的因素.
- 战争和冲突对获得医疗保健和控制慢性疾病构成了独特的挑战.
研究的目的:
- 研究战争对糖尿病患者血糖水平的影响.
- 分析冲突相关干扰和血糖控制之间的关系.
- 为了确定在战时影响糖尿病管理的因素.
主要方法:
- 追溯纵向研究设计.
- 包括67名糖尿病患者.
- 应用通用线性混合效应和非线性混合效应模型来分析血糖水平.
主要成果:
- 患者的血糖水平随着时间的推移而增加.
- 血糖的显著增加与年龄,体重,药物,总胆固醇,高密度胆固醇,肌素和线性时间的增加有关.
- 三甘和LDL水平的增加与血糖水平的降低有关.
结论:
- 埃塞俄比亚的提格雷地区的战争显著恶化了成人糖尿病患者的血糖控制.
- 冲突引起的干扰,包括药物短缺和不规则的胰岛素接入,导致血糖控制不佳.
- 围困和封锁加剧了及时服药和胰岛素可用性的挑战.
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