在泰国2型糖尿病患者中,与新诊断的缺血性中风相关的因素:基于人口的病例对照研究
Junjira Phasom1, Ratchadaporn Ungcharoen2, Pakorn Pusuwan3
1Department of Public Health Administration, Faculty of Public Health, Kasetsart University, Sakon Nakhon, Thailand.
Narra J
|May 12, 2025
概括
较长时间的2型糖尿病 (T2DM) 和久坐不动的工作增加了缺血性中风风险. 适度的自我护理管理和60岁以上的年龄可以预防中风.
科学领域:
- 神经学 神经学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,中风是导致死亡和残疾的主要原因,亚洲的发病率正在上升.
- 缺血性中风约占泰国中风病例的80%,往往导致严重的长期损伤.
- 2型糖尿病 (T2DM) 是一种与中风风险增加相关的显著并发症.
研究的目的:
- 确定T2DM患者新诊断的缺血性中风的危险因素.
- 探索生活方式,社会支持和自我护理管理在缺血性中风发展中的作用.
- 为高风险人群提供针对性预防策略的证据.
主要方法:
- 采用了一种匹配的病例控制研究设计.
- 招募了154例新诊断的缺血性中风病例和183例T2DM对照.
- 通过问卷收集关于社会人口统计,生活方式,社会支持和自我护理管理 (SCM) 的数据;多变量后勤回归被用于分析.
主要成果:
- 男性性别,佛教,久坐不动的职业和超过10年的T2DM持续时间是缺血性中风的重要危险因素.
- 年龄较大 (≥60岁) 和中等水平的SCM显示出对缺血性中风的保护作用.
- 调整后的几率比率 (aOR) 显示,长期T2DM (aOR:6.19) 和久坐不动的工作 (aOR:5.78) 的风险大幅增加.
结论:
- 长时间的T2DM和久坐不动的职业是T2DM患者缺血性中风的关键风险因素.
- 加强糖尿病自我护理管理和改变生活方式对于预防中风至关重要.
- 针对这些因素的有针对性的干预措施可能会减少缺血性中风的负担.
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