在COVID-19大流行期间诊断数字缺血症:来自发展中国家的一项研究
Bidhan Neupane1, Md Nazrul Islam2, Abul Khair Ahmedullah2
1Department of Medicine, Nepal Medical College, Kathmandu, NPL.
Cureus
|May 19, 2025
概括
数字缺血通常是由结缔组织疾病相关的血管炎或系统性硬化症相关的血管病变引起的. 这项研究确定了孟加拉国第三级护理中心数字缺血的常见病因.
科学领域:
- 类风湿病学 类风湿病学
- 血管医学 血管医学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 数字性缺血 (DI) 是一种不常见的疾病,病因信息有限.
- 了解DI的原因对于有效的患者管理至关重要.
- 高等保健中心在诊断复杂的疾病中发挥着至关重要的作用,如DI.
研究的目的:
- 为了确定数字缺血 (DI) 的初级诊断和病因因素,在孟加拉国第三级护理中心的患者中.
- 区分血管炎和血管病变作为DI的原因.
- 为了解该地区导致DI的特定疾病的流行情况提供见解.
主要方法:
- 进行了一项横截面研究,涉及连续25名被诊断为DI的患者.
- 根据已建立的血管炎和血管病的分类和诊断标准来评估患者,使用2012年国际查普尔希尔共识会议命名法.
- 为了比较患者群体,使用了统计分析,包括费舍尔的精确和学生的t测试.
主要成果:
- 该研究包括25名患者 (72%为女性,平均年龄为35.88岁).
- 15名患者 (60%) 被归类为血管炎,狼血管炎 (44%) 是最常见的. 14名患者患有与结合组织疾病相关的血管炎.
- 十名患者 (40%) 属于血管病变组,其中系统性硬化症 (20%) 和外周动脉疾病 (16%) 主要存在. 发烧,关节痛/关节炎和CRP升高与血管炎显著相关.
结论:
- 结合性组织疾病相关的血管炎是医院环境中数字缺血症 (DI) 的主要原因.
- 系统性硬化症相关的血管病变是DI的另一个重要病因因素.
- 这些发现强调了在DI的差异诊断中考虑类风湿和自身免疫疾病的重要性.
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