在第12个背脊和第1个腰椎脊椎水平的化
1Practicing Physician, Begusarai; Ex-Superintendent/CMO Jai Prakash Narayan Hospital, Gaya, Bihar, India, Orcid: https://orcid.org/0000-0002-0806-8291, Corresponding Author.
The Journal of the Association of Physicians of India
|September 16, 2025
概括
这项案例研究突出了一个患有失控糖尿病的患者,由于脊椎结,他经历了下肢疼痛. 使用甲福林,胰岛素和维生素D补充剂的有效管理改善了血糖控制和症状.
科学领域:
- 内分泌学 在内分泌学.
- 放射学 放射学是一门学科.
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 一名46岁的男性有3年的糖尿病病史,出现了2个月的左下肢疼痛.
- 他有酒精依赖的历史,通过辅导成功克服了.
- 临床检查显示BMI较低 (18公斤/米2),心动减速 (110次/分钟),血压正常 (124/78毫米升).
研究的目的:
- 为了调查患有控制不良糖尿病的患者下肢疼痛的原因.
- 记录诊断发现,包括脊椎化.
- 描述高血糖和相关并发症的治疗方法和治疗结果.
主要方法:
- 患者病史,体检和实验室检查,包括血糖,HbA1c,和维生素D水平.
- 腰部神经脊柱的放射和未增强的腹部计算机断层扫描 (CT) 扫描.
- 药理管理使用甲福林,胰岛素,,维生素D3和普雷加巴林.
主要成果:
- 禁食血糖在440毫克/分升时显著升高,HbA1c为9.5%.
- 放射和CT扫描显示了第12个背脊和第1个腰椎的密集化.
- 用甲福明,胰岛素,和维生素D3治疗导致空腹血糖在一周内降至110mg/dL.
结论:
- 失控的糖尿病会导致脊椎结,导致四肢疼痛.
- 包括血糖控制,维生素D和补充剂在内的多模式治疗方法是有效的.
- 及时诊断和管理对于改善患者的治疗结果和预防并发症至关重要.
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