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糖尿病合并腕管综合征的影响因素研究

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目的:探讨糖尿病合并腕管综合征(CTS)的影响因素。方法:选取 2018 年 6 月—2021 年 6 月长沙市中医医院收治的 228 例 2 型糖尿病患者。收集所有患者一般资料。测量所有患者糖化血红蛋白变异性指标。根据患者是否合并CTS将其分为病例组(合并CTS)及对照组(未合并CTS)。比较两组一般资料及糖化血红蛋白(HbA1c)变异性指标,分析 2 型糖尿病合并CTS的影响因素。结果:228 例患者中合并CTS 67 例,发生率为 29。4%。病例组病程长于对照组,心率、HbA1c变异系数(HbA1c-CV)、HbA1c标准差(HbA1c-SD)、HbA1c平均数(HbA1c-M)均高于对照组,差异有统计学意义(P<0。001)。多因素logistic回归分析,结果显示HbA1c-CV、HbA1c-SD和HbA1c-M为CTS独立的危险因素(P<0。05)。结论:糖化血红蛋白变异性与糖尿病CTS有关,可预测糖尿病患者CTS的发生。
Study on Influencing Factors of Diabetes Mellitus Complicated with Carpal Tunnel Syndrome
Objective:To investigate the influencing factors of diabetes mellitus complicated with carpal tunnel syndrome(CTS).Method:A total of 228 patients with type 2 diabetes treated in Changsha Hospital of Traditional Chinese Medicine from June 2018 to June 2021 were selected.General data of all patients were collected.Glycosylated hemoglobin variability was measured in all patients.Patients were divided into case group(with CTS)and control group(without CTS)according to whether they had CTS or not.The general data and glycosylated hemoglobin(HbA1c)variability index of the two groups were compared.The influencing factors of type 2 diabetes mellitus with CTS was analyzed.Result:Among 228 patients,67 had CTS,with an incidence of 29.4%.The course of disease in the case group was longer than that in the control group,and the heart rate,HbA1c variable coefficient(HbA1c-CV),HbA1c standard deviation(HbA1c-SD)and HbA1c mean(HbA1c-M)were higher than those in the control group,the differences were statistically significant(P<0.001).Multivariate logistic regression analysis showed that HbA1c-CV,HbA1c-SD and HbA1c-M were independent risk factors for CTS(P<0.05).Conclusion:Glycosylated hemoglobin variability is associated with diabetic CTS and can predict the development of CTS in diabetic patients.

Diabetes mellitusGlycosylated hemoglobinCarpal tunnel syndrome

王向槐、向建南、刘英

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长沙市中医医院 湖南 长沙 410100

糖尿病 糖化血红蛋白 腕管综合征

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(13)
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