糖尿病并发症的流行病学研究及治疗方案

S. Sivaprasad
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引用次数: 3

摘要

糖尿病是一种主要的健康危害,伴有急性和长期并发症。2000年,全球2型糖尿病患者为1510万人。到2030年,全球糖尿病患者人数预计将增加到3660万。发展中国家的糖尿病发病率高于发达国家。在4个Rayalaseema区、Kadapa、Anantapuramu、Kurnool和Chittor进行了一项以医生为基础的研究。约100名医生,包括糖尿病专家、心脏病专家和普通内科医生接受了结构化问卷调查,以确定糖尿病并发症的患病率及其可能的治疗方案。医生回答说,大约46%的糖尿病患者有糖尿病高血压、糖尿病神经病变、糖尿病肾病、糖尿病视网膜病变和糖尿病足等相关并发症。在这些人中,女性的患病率明显高于男性。糖尿病患者中,糖尿病高血压、糖尿病神经病变、糖尿病肾病、糖尿病足、糖尿病胃轻瘫和糖尿病视网膜病变的患病率分别为30%、25%、15%、10%、8%和7%。糖尿病及其相关并发症的患病率随着年龄和病程的增加而增加。所有的糖尿病人群都需要适当的预防和控制策略。预防胜于治疗,因此需要实施社区规划,以提高糖尿病人群的认识。
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Epidemiological Study on complications of Diabetes and its Treatment Options
Diabetes is a major health hazard with its attendant acute and long-term complications. Globally type-2 diabetes were 15.1 million in 2000. The number of people with diabetes worldwide is projected to increase to 36.6 million by 2030. Diabetes incidence is higher in developing countries than developed countries. A physician’s based study was carried out in 4 Rayalaseema districts, Kadapa, Anantapuramu, Kurnool and Chittor. About 100 physicians who include Diabetologists, Cardiologists and General Physicians were interviewed using a structured questionnaire to determine the prevalence of diabetic complications and their possible treatment options. Physicians responded that about 46% of the diabetic population was having associated complications like diabetic hypertension, diabetic neuropathy, diabetic nephropathy, diabetic retinopathy and diabetic foot. Among those females showing a significantly higher prevalence than males. Among the diabetics, the prevalence of diabetic hypertension, diabetic neuropathy, diabetic nephropathy, diabetic foot, diabetic gastroparesis and diabetic retinopathy were 30%, 25%, 15%, 10%, 8% and 7% of the patients respectively. The prevalence of the diabetes and its associated complications were increased with age and duration of the diabetes. All the diabetic populations need to be treated with suitable prevention and control strategies. As the prevention is better than cure community programmes need to be implemented to create the awareness among the diabetic population.
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