一家三级医疗中心的 2 型糖尿病患者肺功能测试及其与血糖控制的相关性

S. S. Jyothish, Swarnalatha P. K, Ranjit Kumar K C
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摘要

:糖尿病是最常见的合并症之一,也是许多疾病的主要风险因素。本研究旨在评估 2 型糖尿病患者的肺功能测试及其与血糖控制的相关性。本研究的目的是评估 2 型糖尿病患者的肺功能测试参数。将肺功能测试与 HbA1c 相关联。评估 2 型糖尿病患者肺功能测试与糖尿病病程的关系。 研究对象:这是一项横断面研究,为期一年,研究对象为 30 名血糖控制良好的糖尿病患者和 30 名血糖控制不佳的糖尿病患者,他们均在全科医学系门诊部住院或就诊,并符合纳入和排除标准。研究人员进行了必要的病史询问和全身检查,并收集了 HbA1c、FBS 和 PPBS 的化验结果。收集了肺活量数据,分析了 FVC、FEV1、FEV1/FVC 和 PEFR 值,并发现了肺部的限制。未受控制的糖尿病患者中有 60% 患有限制性肺部疾病,而受控糖尿病患者中只有 30% 患有限制性肺部疾病。用独立 t 检验比较两组患者的肺部限制性病变,发现其 p 值为 0.019,具有显著性(在 95% 的可信区间内,p 值< 0.05 被认为具有显著性)。高血糖是导致限制型肺功能障碍的危险因素之一。适当的血糖控制、及时的肺功能检测和随访对预防肺部并发症非常重要。
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Pulmonaryfunction tests and their correlation with glycemic control in type 2 diabetes mellitus in a tertiary care centre
: Diabetes mellitus is one of the most common comorbidities and is the major risk factor for many diseases. This study is aimed at evaluating the pulmonary function tests in type 2 diabetes mellitus and their correlation with glycaemic control. The objective of this study is to evaluate pulmonary function test parameters in type 2 diabetes mellitus patients. To correlate pulmonary function tests with HbA1c. To evaluate association of pulmonary function tests in type 2 diabetics with duration of diabetes. : This is a cross-sectional study conducted over a period of one year on 30 diabetics with good glycaemic control and 30 diabetics with poor glycaemic control who were admitted or visited the outpatient department of the Department of General Medicine, and fulfilling the inclusion and exclusion criteria. Required history, general examination was done, lab results of HbA1c, FBS, PPBS were collected. Spirometry data collected and values of FVC, FEV1, FEV1/FVC, PEFR were analysed and restriction in lungs was found out. 60% of the uncontrolled diabetic patients were having a restrictive lung disease when compared to only 30% controlled diabetics having restrictive disease in their lungs. When comparing restriction in lungs in both groups with independent t test, it was found to be significant with a p- value of 0.019 (p value< 0.05 was considered significant at 95% confident interval).Hyperglycaemia is one of the risk factors for developing restrictive type of lung dysfunction. Adequate glycaemic control and timely pulmonary function testing and follow-up are very important to prevent pulmonary complications of lung.
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