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目的探讨湖北省宜昌市夷陵区农村T2DM患者糖尿病周围神经病变(DPN)患病状况及相关因素。方法多级分层抽样调查夷陵区农村T2DM患者,予问卷调查、体格检查、实验室检查和特殊检查后录入数据,根据有无DPN分为DPN组及非DPN(Non-DPN)组进行分析。结果夷陵区农村T2DM患者DPN患病率约为59.8%(207/346),两组年龄、糖尿病病程、腰高比和踝肱指数(ABI)比较差异均有统计学意义(P<0.05)。Logistic回归分析显示,DPN患病率与年龄、性别、糖尿病病程、腰高比、ABI、FPG和FIns有关。结论宜昌市夷陵区农村T2DM患者DPN患病率较高,年龄、糖尿病病程、腰高比、ABI和FPG是该地区T2DM患者DPN的相关因素。
Objective To investigate the prevalence and related factors of diabetic peripheral neuropathy (DPN) in rural T2DM patients in Yiling District of Yichang City, Hubei Province. Methods A multi-level stratified sampling survey was conducted in rural T2DM patients in Yiling District. Data were collected from questionnaires, physical examinations, laboratory examinations and special examinations. Data were analyzed according to whether DPN was divided into DPN group and non-DPN group . Results The prevalence of DPN in rural T2DM patients in Yiling District was 59.8% (207/346). There were significant differences in age, diabetes duration, waist-height ratio and ankle-brachial index (ABI) between the two groups (P <0.05). Logistic regression analysis showed that the prevalence of DPN was related to age, sex, duration of diabetes, waist-height ratio, ABI, FPG and FIns. Conclusion The prevalence of DPN in rural T2DM patients in Yiling District of Yichang City is high. Age, duration of diabetes, waist-height ratio, ABI and FPG are the related factors of DPN in T2DM patients in this area.