与糖尿病末梢神经病变相关的社会心理因素初探
2型糖尿病,,2型糖尿病；糖尿病末梢神经病变；,社会心理因素；病例对照研究,Logistic回归分析,1对象和方法,2结果,3讨论,【参考文献】
【摘要】 目的 探讨2型糖尿病病人并发末梢神经病变(DPN)社会心理方面的危险因素。方法 采用以医院为基础的配对病例对照研究方法。运用条件Logistic回归分析，建立主效应方程分析讨论DPN与相关社会心理学危险因素的相互关联。结果 单因素Logistic回归分析表明，DPN发生的保护性社会心理因素包括：文化程度高和饮茶；危险因素包括：既往吸烟和创伤经历。多因素Logistic回归分析示DPN发生的危险因素为饮酒以及既往创伤经历。结论 DPN与多种因素相关，分析几种可疑的社会心理学因素发现，在2型糖尿病患者中，饮酒、既往创伤史会增加糖尿病神经病变的发生危险。【关键词】 2型糖尿病；糖尿病末梢神经病变； 社会心理因素；病例对照研究 Logistic回归分析
The study of psychological and social risk factors for diabetic peripheral neuropathy in type 2 diabetes mellitus
ZHI Xinle,WANG Jianhua.
Tianjin Medical University,Tianjin 300070,China
Objective To identify the social and psychological risk factors in patients with type 2 diabetes mellitus. Methods A hospital-based 1:1 pair-matched case control study was conducted in the Metabolic Disease Hospital of Tianjin Medical University. Conditional logistic regression was used to analyse the risk factors. Results From univariate analysis showed that the following factors were significantly associated with the development of DPN: smoking，history of injury, higher level of education, tea drinking; The results of multi-logistic analysis showed that the following factors were significantly associated with DPN: drinking and history of injury. Conclusion DPN relates to multiple risk factors. The main social and psychological risk factors including drinking, and history of injury may increase the risk of development of DPN in type 2 diabetes patients. ......
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