糖尿病痛性神经病变 (2).ppt

感谢大家观看第62页，共62页，星期日，2025年，2月5日*Therearemanytypesofneuropathicpain.Thesearesomedatabasedonthepopulationof270millionbyBennettandcolleaguesdemonstratingthat600,000individualswouldhavepainfuldiabeticneuropathyconditionsonayearlybasis.Thesenumberscontinuetogoupwithpainfuldiabeticneuropathyandpostherpeticneuralgia.Asourpopulationshiftsinage,wearegoingtoseemoreandmorepostherpeticneuralgia.******在北京,上海,天津,重庆4个省市的10家中心医院，调查了3469例住院的2型患者慢性血管并发症的发病率及危险因素。OBJECTIVE:Toprovideanepidemiologicaldescriptionandriskfactorsofchronicvascularcomplicationsoftype2diabeticin-patientsinfourmunicipalitiesincludingBeijing,Shanghai,Tianjin,andChongqing.METHODS:Dataofthestudycamefrom3,469Type2diabeticin-patientsfrom1991to2000in10medicalcentersofBeijing,Shanghai,Tianjin,andChongqing.Avarietyofparametersofin-patientswereevaluatedretrospectivelytoknowtheprevalenceandriskfactorsofchronicvascularcomplicationsinthestudypatients.RESULTS:Overall,thedetailedprevalenceofchronicvascularcomplicationsislistedasfollows:diabeticretinopathy31.5%,diabeticnephropathy39.7%,diabeticneuropathy51.1%,hypertension41.8%,coronaryheartdisease(CHD)25.1%,cerebralvasculardisease(CVD)17.3%,vesselcomplicationoflowerlimbs9.3%.Multivariatelogisticregressionanalysisshowsthatdiabetesfamilyhistory,durationofdiabetes(5years),andsystolicbloodpressure(125mmHg)aretheriskfactorsfordiabeticretinopathy;durationofdiabetes(5years),systolicbloodpressure(125mmHg),LDL-C(3.12mmol/L),andtriglyceride(1.70mmol/L)aretheriskfactorsfordiabeticnephropathy;age(45years),durationofdiabetes(5years),HbA1C(7.0%),systolicbloodpressure(125mmHg),andLDL-C(3.12mmol/L),aretheriskfactorsforCHD;age(45years),durationofdiabetes(5years),systolicbloodpressure(125mmHg),andtr