文章摘要
糖尿病周围神经病变患者合并肌少症的现状及其影响因素研究
Study on the Current Status and Influencing Factors of Sarcopenia in Patients with Diabetic Peripheral Neuropathy
投稿时间:2024-04-17  修订日期:2024-04-17
DOI:
中文关键词: 糖尿病周围神经病变  肌少症  现状  影响因素
英文关键词: Diabetic Peripheral Neuropathy  Sarcopenia  Prevalence  Influencing Factors
基金项目:1.国家自然科学基金项目(81902498);2. 湖北医药学院2023年度研究生科技创新项目(YJC2023012)
作者单位邮编
董晨 湖北医药学院护理学院 442000
胡朕瑜 湖北医药学院护理学院 
孙敏 湖北医药学院附属太和医院防保感控处 
朱树贞 湖北医药学院护理学院 442000
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中文摘要:
      摘要 目的:探讨糖尿病周围神经病变(DPN)患者肌少症发生现状及其影响因素。方法:采用便利抽样法,选取2023年2月至2023年10月湖北省某三甲医院住院的202例DPN患者,运用一般资料调查表、病人健康问卷抑郁量表(PHQ-9)、Charlson 共病指数、睡眠质量指数量表(PSQI)对患者进行调查,根据2019年亚洲肌少症工作组制定的的诊断标准将患者分为肌少症组与非肌少症组,分析肌少症的发生现状及其影响因素。结果:202例DPN患者中有39例被诊断为肌少症,肌少症发生率为19.31%。其中男性7例(17.94%),女性32例(82.06%)。两组性别、年龄、腰围、BMI、每日锻炼时长、骨质疏松、PHQ-9评分、CCI指数、PSQI评分、25羟维生素D水平、总胆固醇、红细胞计数、肌酐比较,差异有统计学意义(P<0.05)。Logistic回归分析结果显示,25羟维生素D缺乏、高PHQ-9评分、腰围减小、高PSQI评分和红细胞计数较低是DPN患者合并肌少症的危险因素(P<0.05)。结论:DPN患者肌少症发生率较高,医务人员需及时识别肌少症高危人群并采取针对性干预措施,以预防或减缓肌少症及其他不良健康后果的发生、发展。
英文摘要:
      Abstract Objective: To investigate the current status and influencing factors of sarcopenia in patients with Diabetic Peripheral Neuropathy (DPN). Methods: Convenience sampling was used to select 202 DPN patients admitted to a tertiary hospital in Hubei Province from February to October 2023. Patients completed surveys including a general information questionnaire, PHQ-9, Charlson Comorbidity Index, and PSQI. Patients were categorized into sarcopenia and non-sarcopenia groups based on 2019 diagnostic criteria by the Asian Working Group for Sarcopenia, to analyze sarcopenia occurrence and influencing factors. Results: Among 202 DPN patients, 39 were diagnosed with sarcopenia, including 7 males (17.94%) and 32 females (82.06%), with a sarcopenia incidence rate of 19.31%. Significant differences (P<0.05) were observed in gender, age, waist circumference, BMI, duration of physical exercise, osteoporosis,PHQ-9 score, CCI index, PSQI score, vitamin D levels, total cholesterol, red blood cell count, and creatinine. Logistic regression analysis results indicated that Deficiency in 25-hydroxyvitamin D, high PHQ-9 scores, decreased waist circumference, high PSQI scores, and low red blood cell count are risk factors for sarcopenia in DPN patients (P<0.05). Conclusion: The sarcopenia rate is high in DPN patients. Healthcare providers should promptly identify high-risk populations and intervene to prevent or delay sarcopenia and its adverse health consequences.
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