麻风病患者残疾概况:一项回顾性研究

Silvani Geani, R. Rahmadewi, A. Astindari, C. Prakoeswa, S. Sawitri, Evy Ervianti, B. Utomo, M. Listiawan
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引用次数: 3

摘要

背景:麻风是一种由麻风分枝杆菌引起的慢性肉芽肿性传染病,影响周围神经和皮肤。麻风分枝杆菌和雪旺细胞之间的相互作用在残疾发生后对周围神经组织造成不可逆的损伤。四肢主要神经干受累可造成感觉运动障碍。风险因素包括诊断延误、性别、年龄、麻风病类型、病程、受影响神经数量、麻风病反应、治疗类型、社会经济因素、教育、种族和职业。目的:目的是研究在RSUD皮肤性病门诊麻风科Soetomo Surabaya医生处寻求治疗的残疾麻风患者的概况。方法:对2017年1月至2019年12月残疾麻风患者进行描述性回顾性研究。结果:本研究共获得麻风残障患者275例,其中一级残障76例(27.6%),二级残障199例(72.4%)。以男性(73.4%)和25 ~ 44岁(42.2%)居多。其他主要危险因素为MB型麻风(92%)、病程超过12个月(52.3%)、无麻风反应(68%)和接受过多药治疗(45.5%)。结论:了解麻风患者致残危险因素有助于加强麻风患者的管理和教育,预防麻风患者致残。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Profile of Disability in Leprosy Patients: A Retrospective Study
Background: Leprosy is a chronic granulomatous infectious disease caused by Mycobacterium leprae that affects peripheral nerves and skin. The interaction between M. leprae and Schwann cells causes irreversible damage to peripheral nervous tissue afterward disability occurs. Involvement of the major nervous trunks of the extremities can produce sensory-motor deficits. The risk factors are delay in diagnosis, gender, age, type of leprosy, duration of disease, number of affected nerves, leprosy reaction, type of treatment, socioeconomic factors, education, ethnicity, and occupation. Purpose: The aim was to study the profile of leprosy patients with disability who seek treatment in Leprosy Division Dermatovenerology Outpatient Clinic RSUD Dr. Soetomo Surabaya. Methods: This was a descriptive retrospective study of leprosy patients with disability from January 2017 to December 2019. Result: The results of this study obtained a total of 275 leprosy patients with disabilities, which consisted of 76 patients (27.6%) with grade-1 disability and 199 patients (72.4%) with grade-2 disability. The majority were male (73.4%) and aged 25-44 years old (42.2%). Other dominant risk factors were MB type leprosy (92%), duration of disease more than 12 months (52.3%), no leprosy reaction (68%), and had received multidrug therapy (45.5%). Conclusion: Knowledge of disability risk factors can assist in improving management and education to prevent disability in leprosy patients.
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