1型和2型糖尿病患者手部软组织病变的患病率增加:各种实体和相关意义

Diabete & metabolisme Pub Date : 1994-11-01
E Renard, D Jacques, M Chammas, J L Poirier, C Bonifacj, C Jaffiol, L Simon, Y Allieu
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引用次数: 0

摘要

60名1型(胰岛素依赖型)和60名2型(非胰岛素依赖型)糖尿病患者在糖尿病科就诊,以寻找关节活动受限、Dupuytren病、屈肌腱滑膜炎和腕管综合征,并与60名性别和年龄与1型和2型糖尿病患者相匹配的非糖尿病对照组进行比较。同时对60例1型糖尿病患者中的39例和所有2型糖尿病患者的微血管病变和神经性并发症、血糖控制、血压和烟草消费进行评估。两组糖尿病人群(分别为1型和2型)手部各种软组织病变的患病率均高于对照组:关节活动受限:33.3%和26.7% vs 5.0和8.3% (p均< 0.01);Dupuytren病:35.0%、30.0% vs 6.7、10.0% (p均< 0.01);屈肌腱滑膜炎:23.3%、16.7% vs . 0.0、3.3% (p < 0.01、p < 0.05);腕管综合征:26.7%和15.0% vs 3.3和5% (p < 0.01和NS)。1型糖尿病患者关节活动受限的患病率与年龄的增加独立相关(p < 0.05),与糖尿病病程的增加独立相关程度较低(p = 0.05),而两型糖尿病患者Dupuytren病的患病率仅与年龄的增加相关(p < 0.05)。在2型糖尿病中,屈肌腱滑膜炎的患病率也随年龄独立增加(p < 0.05),调整年龄、糖尿病病程和性别后,关节活动受限的患病率与体重指数相反(p < 0.05)。(摘要删节250字)
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Increased prevalence of soft tissue hand lesions in type 1 and type 2 diabetes mellitus: various entities and associated significance.

Sixty Type 1 (insulin dependent) and sixty Type 2 (non insulin dependent) diabetic patients attending a diabetology unit were examined in search of limited joint mobility, Dupuytren's disease, flexor tenosynovitis and carpal tunnel syndrome, in comparison with two populations of 60 non diabetic controls matched for sex and age with the Type 1 and the Type 2 diabetic patients. Microangiopathic and neuropathic complications, glycaemic control, blood pressure and tobacco consumption were simultaneously assessed in 39 of the 60 type 1 and in all the type 2 diabetic patients. The prevalence of the various soft tissue hand lesions was higher in both diabetic populations (respectively Type 1 and Type 2) than in their control populations: Limited joint mobility: 33.3 and 26.7% vs 5.0 and 8.3% (both p < 0.01); Dupuytren's disease: 35.0 and 30.0% vs 6.7 and 10.0% (both p < 0.01); flexor tenosynovitis: 23.3 and 16.7% vs 0.0 and 3.3% (p < 0.01 and p < 0.05); carpal tunnel syndrome: 26.7 and 15.0% vs 3.3 and 5% (p < 0.01 and NS). The prevalence of limited joint mobility in Type 1 diabetes was independently associated with increasing age (p < 0.05) and to lower extent with increasing duration of diabetes (p = 0.05), whereas the prevalence of Dupuytren's disease only correlated with increasing age in both types of diabetes (p < 0.05). In Type 2 diabetes, the prevalence of flexor tenosynovitis also increased independently with age (p < 0.05), and the prevalence of limited joint mobility increased in the opposite way to the body mass index after adjustment on age, duration of diabetes and sex (p < 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)

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