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在老年糖尿病人群中跌倒和骨折发生的性别比较:一项定量研究

Fahamina Ahmed¹, Kaylin Miller², Meva Beganovic³

¹Division of Clinical and Administrative Sciences, College of Pharmacy, Xavier University of Louisiana, New Orleans, Los Angeles, USA.

Women's health reports (New Rochelle, N.Y.)

|May 1, 2025

概括

患有2型糖尿病 (T2DM) 的女性面临更高的骨折风险. 这项研究强调了针对性护理的必要性,以减轻这一人口群体中骨折风险,特别是在同时出现的条件下.

科学领域:

内分泌学在内分泌学.
老年病的医生老年病的医生
公共卫生公共卫生

背景情况:

2型糖尿病 (T2DM) 影响全球数百万人,增加了对各种健康并发症的易感性.
老年人,特别是那些患有T2DM等慢性疾病的人,跌倒和骨折是很大的问题.
了解T2DM相关跌倒和骨折的性别差异对于开发有效的预防策略至关重要.

研究的目的:

调查和比较被诊断患有2型糖尿病的男性和女性之间的跌倒和骨折的发生率.
分析伴随性疾病与T2DM患者中跌倒和骨折的发生之间的关联.
在路易斯安那州东南部的多元患者群体中确定导致摔倒和骨折的特定风险因素.

主要方法:

一项回顾性队列研究使用东杰斐逊总医院的电子健康记录进行.
从100名患有T2DM的成年患者 (50名女性,50名男性) 的数据进行了审查,这些患者在2018年至2023年期间经历了跌倒和/或骨折.
统计分析包括学生的t测试,费舍尔的精确测试和皮尔森相关性,以比较性别之间的结果并评估风险因素.

主要成果:

虽然跌倒在两性中发生的频率相似 (p=0.97),但女性 (50%) 与男性 (26%) 相比,骨折发生的频率明显高 (p=0.02).
伴随性疾病与跌倒 (女性中度,r=0.48) 和骨折 (女性强度,r=0.52) 有正相关性.
没有胰岛素的患者比胰岛素依赖的患者 (22%) (p=0.03) 有更多的骨折 (46%).

结论:

在这个多样化的群体中,患有T2DM的女性患骨折的风险较高,需要专门的护理和有针对性的干预措施.
其他并发症的存在加剧了T2DM患者中跌倒和骨折的风险.
研究结果强调了针对性别的风险评估和管理策略对于T2DM患者的跌倒和骨折预防的重要性.

关键词:

这种疾病是共患的.糖尿病老年患者的跌倒和骨折.在跌倒和骨折中进行性别比较.

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