与印度糖尿病足相关的社会人口风险因素:一个病例控制研究
Nitesh Upadhyay1, Ajeet Saoji1, Prachi Saoji2
1Department of Community Medicine, NKP Salve Institute of Medical Sciences and Research Centre, Nagpur, Maharashtra, India.
Journal of pharmacy & bioallied sciences
|June 13, 2025
概括
印度糖尿病足与低社会经济地位,农村生活和糖尿病控制不良有关. 解决这些因素是预防DFU并发症的关键.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 糖尿病管理 糖尿病管理
背景情况:
- 糖尿病足 (DFU) 是糖尿病的一个主要并发症,严重影响患者的生活质量和压力医疗保健系统,特别是在印度.
- 了解与DFU相关的社会人口因素对于制定适合印度人口的有效预防策略至关重要.
研究的目的:
- 确定与印度人口糖尿病足相关的社会人口和临床风险因素.
- 为印度的DFU制定有针对性的预防和管理策略提供信息.
主要方法:
- 在印度进行了一年的病例控制研究,涉及150名患者.
- 病例 (75) 患有糖尿病足,而对照组 (75) 是没有足的糖尿病患者.
- 通过采访和医疗记录收集了社会人口学变量,病史和生活方式的数据,并使用后勤回归分析了这些数据.
主要成果:
- 低社会经济地位 (OR=3.45),血糖控制不佳 (HbA1c>8%,OR=2.96),农村居住 (OR=2.72),缺乏正规教育 (OR=2.30) 与增加的DFU风险显著相关.
- 其他危险因素包括吸烟,糖尿病持续时间超过10年,以及足部护理不良的病史.
结论:
- 社会经济差异和对糖尿病患者足部护理的认识有限,这在很大程度上导致了印度的DFU负担.
- 针对性干预,患者教育,改善血糖控制和可访问的医疗保健服务对于管理这种可预防的并发症至关重要.
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