[一般诊所糖尿病外围动脉血管患者的发病率和死亡率指标]
Henrietta Galvács1,2, Istvánné Mongel2, Katalin Dózsa2,3
11 Semmelweis Egyetem, Egészségtudományi Kar Budapest, Vas u. 17., 1088 Magyarország.
Orvosi hetilap
|June 8, 2025
概括
糖尿病患者患上下肢外周动脉疾病的风险明显更高,特别是那些糖尿病持续时间较长和其他心血管风险因素的人. 早期查和综合护理对于预防至关重要.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 糖尿病是一种主要的公共卫生问题,具有重大心血管并发症.
- 下肢外周动脉疾病 (PAD) 是糖尿病的一个关键并发症.
- 在糖尿病患者中,早期识别和管理PAD风险因素至关重要.
研究的目的:
- 确定患有碳水化合物代谢障碍的患者下肢PAD的患病率和危险因素.
- 在初级保健环境中,将糖尿病患者与非糖尿病患者的PAD风险进行比较.
- 在一般实践中为预防策略提供信息.
主要方法:
- 在三年内 (2021-2024) 对423名患者的前性评估.
- 数据收集包括人体测量测量,并发症和脚-手腕指数 (ABI).
- 糖尿病和非糖尿病患者群体之间的PAD患病率和风险因素的比较.
主要成果:
- 糖尿病患者的腰围和BMI显著增加.
- PAD风险受到男性性别,吸烟,糖尿病持续时间,禁食葡萄糖和冠状动脉疾病,脏疾病,脂质不良症和关节狭窄症等并发症的显著影响.
- 在45岁以上的糖尿病患者中观察到PAD风险增加,70岁时死亡风险高.
结论:
- 糖尿病患者经常出现PAD和其他心血管疾病,往往表明多血管疾病.
- 包括胆固醇管理在内的整体初级保健方法至关重要.
- 将高级实践护士纳入初级保健可以提高慢性疾病查,患者教育和管理,改善预防性护理结果.
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