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目的研究老年糖尿病人群在血糖控制达标率高的情况下糖尿病周围神经病变(ropathy,DPN)的危险因素。方法随机选取符合标准的≥60岁社区老年糖尿病214例为研究对象,按照是否患有DPN,DPN组和非DPN组,观察DPN与各观察指标的关系。再按照年龄段分为3组:60~岁组、70~岁组及80~岁组,比较不同年龄段的DPN患病率。结果 DPN组与非DPN组间的单因素比较,年龄和Hb A1c组间差异有统计学意义(P<0.05)。多因素Logistic回归分析结果,只有年龄进入回归方程(P<0.01),其OR值为1.187,95%CI为1.105~1.275。60~岁组、70~岁组及80~岁组DPN患病率的差异具有统计学意义(P<0.01),两两比较(α′=0.017),各组间差异均具有统计学意义(P<0.017)。结论年龄可能是老年人群糖尿病周围神经病变的独立危险因素。
Objective To study the risk factors of diabetic peripheral neuropathy (DPN) in elderly diabetic patients with high glycemic control. Methods A total of 214 elderly patients with diabetes ≥60 years old who were eligible for the criteria were randomly selected as the study subjects. The relationship between DPN and each observation index was observed according to whether they had DPN, DPN or not. According to the age group, the patients were divided into three groups: 60 ~ group, 70 ~ group and 80 ~ group. The prevalence of DPN in different age groups was compared. Results The single factor comparison between DPN group and non-DPN group showed significant difference between age and Hb A1c group (P <0.05). Multivariate logistic regression analysis showed that only age entered the regression equation (P <0.01), with an OR of 1.187 and a 95% CI of 1.105 to 1.275.60 years old. The prevalence of DPN was 70 years old and 80 years old (P <0.01), any pairwise comparisons (α ’= 0.017), the differences among the groups were statistically significant (P <0.017). Conclusion Age may be an independent risk factor for diabetic peripheral neuropathy in the elderly.