S. Deveci
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摘要

腕管综合征(Carpal tunnel syndrome, CTS)在糖尿病(DM)患者中更为常见,尤其是在糖尿病多发神经病变(DPN)患者中。本研究旨在回顾性研究糖化血红蛋白(HbA1c)水平升高、糖尿病病程和其他糖尿病微血管并发症对DPN患者CTS发生频率和严重程度的影响。材料与方法:124例DPN患者纳入研究。在这些患者中,空腹血糖(FBG)和HbA1c水平、糖尿病持续时间、使用的降糖药、合并症和其他糖尿病并发症被质疑。根据电生理检查结果将患者分为单纯DPN组和DPN + CTS组。结果:在糖尿病并发症调查中,只有DPN + CTS患者出现糖尿病肾病(p=0.045)。在所有患者的感觉纤维中,43例(34.7%)患者伴有运动纤维受累。CTS的严重程度与糖尿病病程、FBG和HbA1c水平以及皮下胰岛素使用呈正相关(p=0.018, p=0.014, p=0.003, p=0.029)。结论:良好的血糖控制可降低CTS合并糖尿病微血管并发症的发生风险。因此,了解糖尿病的并发症,保护手部功能,预防CTS的发生是非常重要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diyabetik Polinöropati ve Karpal Tünel Sendromu İlişkisi: Glisemik Kontrol ve Mikrovasküler Komplikasyonların Rolü
Introduction: Carpal tunnel syndrome (CTS) is more common in diabetes mellitus (DM), especially in individuals with diabetic polyneuropathy (DPN). This study aimed to retrospectively investigate the effects of elevated glycosylated hemoglobin (HbA1c) levels, duration of diabetes, and other microvascular complications of DM on the frequency and severity of CTS in patients with DPN. Material and methods: 124 DPN patients were included in the study. In these patients, fasting blood glucose (FBG) and HbA1c levels, duration of DM, antidiabetic drugs used, comorbidities, and other complications of diabetes were questioned. According to the results of the electrophysiological examination, the patients were divided into 2 groups: those with only DPN and those with DPN + CTS. Results: When diabetes complications were investigated, diabetic nephropathy was found only in those with DPN + CTS (p=0.045). Electrophysiologically, in sensory fibers in all patients, In 43 patients (34.7%), involvement of motor fibers was accompanied. A positive correlation was found between the severity of CTS and duration of diabetes, FBG and HbA1c levels, and subcutaneous insulin use (p=0.018, p=0.014, p=0.003, p=0.029, respectively). Conclusion: Good glycemic control can reduce the risk of developing CTS with microvascular complications of diabetes. Therefore, it is important for patients to protect their hand function and prevent the development of CTS by being informed about the complications of diabetes.
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