无肾功能不全的2型糖尿病患者贫血

Jaya Pathak, Varoon J. Vadodariya, A. Jhala, Deesha Bhojwani, Niravkumar Brahmbhatt
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引用次数: 4

摘要

糖尿病与微血管、大血管和非血管等多种并发症有关。糖尿病患者出现贫血是由于疾病本身,而不是通常的贫血原因。除了引起通常的症状外,贫血还会增加糖尿病患者患心血管疾病的风险。在这里,我们进行了一项研究,比较了糖尿病患者与健康人群中贫血的存在。材料和方法:在古吉拉特邦瓦多达拉的一家三级保健医院进行病例对照研究。共纳入120例患者,其中60例为2型糖尿病患者,60例为健康对照,年龄和性别相匹配。对病例和对照组进行了详细的临床病史和检查。血液检查包括全血图、外周薄涂片、血糖和血清肌酐。只有血清肌酐水平正常的个体被纳入研究。比较两组之间贫血的存在,没有肾脏受累。结果:2型糖尿病患者贫血发生率高于对照组(优势比= 2.04,P < 0.05)。男女贫血病例与对照组比较,男女的优势比分别为2.14和2.04,P < 0.05。结论:2型糖尿病患者发生贫血的风险较高,与肾功能无关。
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Anemia in Type 2 Diabetes Mellitus in Absence of Renal Insufficiency
Introduction: Diabetes Mellitus is associated with many complications such as microvascular, macrovascular and non vascular. Presence of anemia in diabetes is due to the disease itself rather than usual causes of anemia. Apart from causing usual symptoms, anemia also increases the risk of cardiovascular disease in diabetics. Here, we have conducted a study to compare the presence of anemia in patients with Diabetes, with that in healthy population. Material and Methods: A case-control study was conducted in a tertiary care hospital setting in Vadodara,Gujarat. A total of 120 patients were enrolled, of which 60 were cases who had Diabetes Mellitus type 2 and 60 were healthy controls, matched for age and gender. A detailed clinical history and examination was done for both cases and controls. Blood investigations in form of a complete hemogram, thin peripheral smear, blood sugar and serum creatinine was done. Only individuals with normal serum creatinine levels were included in the study. Comparison was done between the two groups for the presence of anemia, in absence of renal involvement. Results: Anemia was more prevelant in patients with Type 2 Diabetes Mellitus when compared to controls (Odds Ratio = 2.04, P < 0.05). On comparing the anemic cases and controls in both genders, the Odds ratio for males and females was 2.14 and 2.04 respectively with P < 0.05. Conclusion: Patients with diabetes mellitus type 2 are at a higher risk of suffering from anemia irrespective of their renal function.
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