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社区重点人群下肢慢性静脉疾病影响因素分析与管理策略

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目的:分析评估社区重点人群下肢慢性静脉疾病的影响因素并探讨管理策略.方法:选取2022年10月—2024年4月在深圳市坪山区人民医院社康参加全科诊疗和周期性体检或者随访过程中去收集的社区重点人群相关资料,同时调查所有自愿者与下肢静脉疾病相关信息,采用SPSS 25.0统计学软件进行数据分析筛选出高风险因素,并通过logistic回归分析高风险因素与CVD的相关性及权重系数.结果:下肢慢性静脉疾病的发生与性别、年龄、吸烟、每周进食豆类蛋白次数、白细胞、糖化血红蛋白、血清肌酐等相关(OR=1.721、1.062、2.865、0.813、1.146、1.278、1.015、0.001,P<0.05),其中,糖化血红蛋白为造成社区重点人群下肢慢性静脉的重要危险因素,糖化血红蛋白与CVD严重程度之间的相关系数为0.229,相关系数>0.结论:社区重点人群下肢慢性静脉疾病的影响因素为性别、年龄、吸烟、每周进食豆类蛋白次数、白细胞、糖化血红蛋白、血清肌酐,且差异显著,糖化血红蛋白可作为普通人群评估慢性静脉疾病风险的关键参考指标,社区患有下肢慢性静脉疾病的重点人群采取控制血糖,降低糖化血红蛋白至正常水平,有利于改善患者预后.
Analysis of the Influencing Factors and Management Strategies of Chronic Venous Diseases of Lower Limbs in Key Population in the Community
Objective:To analyze and evaluate the influencing factors of lower limb chronic venous disease among the high-risk population in the community,and discuss management strategies.Methods:Collecting the patients'general medical data from October 2022 to April 2024 through questionnaires and annual physical examinations,and surveyed all patients with lower limb venous symptoms about their lifestyles.With the help of SPSS 25.0 statistic software,screening the high-risk factors by running regression,and analyzing the correlation and weight coefficients between high risk factors and CVD with logistic regression analysis.Results:The occurrence of chronic venous diseases of lower limbs was correlated with gender,age,smoking,times of eating leguminous protein per week,white blood cells,glycated hemoglobin,serum creatinine,etc(OR=1.721、1.062、2.865、0.813、1.146、1.278、1.015、0.001,P<0.05).Among them,glycated hemoglobin was an important risk factor for chronic venous diseases of lower limbs in key community populations.The correlation coefficient between glycated hemoglobin and the severity of CVD was 0.229.Correlation coefficient was>0.Conclusion:The influencing factors of chronic venous diseases of lower limbs in the community key population are gender,age,smoking,times of eating legumes per week,white blood cells,glycated hemoglobin and serum creatinine,and the differences are significant.Glycated hemoglobin can be used as a key reference index to assess the risk of chronic venous diseases in the general population.The key population suffering from chronic venous diseases of lower limbs in the community should take blood sugar control.Reducing HBA1c to normal level is beneficial to improve the prognosis of patients.

High-risk population in the communityChronic venous diseasesInfluencing factor

程炼、潘成利、詹乃洋、詹勇强

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广州医科大学研究生院深圳市第二人民医院基地,广东 深圳 518035

深圳市坪山区人民医院,广东 深圳 518118

社区重点人群 慢性静脉疾病 影响因素

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(24)