老年糖尿病患者皮肤瘙痒的危险因素分析  

Analysis of Risk Factors for Pruritus in Elderly Patients with Diabetes

作　　者：陈曼丽[1] 范琳[2] 宫蕊[1] 齐莉莉 CHEN Man-li;FAN Lin;GONG Rui;QI Li-li(Department of Geriatrics,Third Hospital of Shijiazhuang City,Shijiazhuang,Hebei Province,050000 China;Department of Endocrinology,Third Hospital of Shijiazhuang City,Shijiazhuang,Hebei Province,050000 China;Department of Pathogenic Biology,School of Basic Medical Sciences,Hebei Medical University,Shijiazhuang,Hebei Province,050017 China)

机构地区：[1]石家庄市第三医院老年病科,河北石家庄050000 [2]石家庄市第三医院内分泌科,河北石家庄050000 [3]河北医科大学基础医学院病原生物学教研室,河北石家庄050017

出　　处：《糖尿病新世界》2019年第7期184-185,共2页Diabetes New World Magazine

摘　　要：目的对老年2型糖尿病患者发生皮肤瘙痒症的危险因素进行探讨。方法对该院老年病科2015年6月—2018年6月收治的224例老年2型糖尿病患者的皮肤瘙痒情况进行调查,将伴有皮肤瘙痒的100例作为研究组,将不伴有皮肤瘙痒的124例作为对照组。将两组患者的性别、家族病史、病程、是否吸烟、是否饮酒等问题进行比较,对引起皮肤瘙痒的危险因素进行多因素非条件的Logistic回归分析。结果经单因素分析发现,研究组在年龄、病程、吸烟、饮酒、高血压及胰岛素使用上与对照组比较(P<0.01或P<0.05);研究组在性别、HbAlc与对照组比较(P>0.05)。将年龄、病程、吸烟、饮酒、高血压及胰岛素使用上这6个因素作为自变量,进行多因素非条件Logistic回归分析发现,与发生皮肤瘙痒相关的因素有年龄、病程及饮酒。结论年龄、病程及饮酒与2型糖尿病患者皮肤瘙痒的发生有较高相关,是高危险因素,应加以重视并采取相应的方法,改善预后。Objective To investigate the risk factors of pruritus in elderly patients with type 2 diabetes. Methods The skin itching of 224 elderly patients with type 2 diabetes admitted from June 2015 to June 2018 in our hospital was investigated. 100 cases with skin itching were used as the research group and would not be accompanied by skin. 124 cases of itching were used as a control group. The gender, family history, duration of illness, smoking status, and alcohol consumption were compared between the two groups. Multivariate and unconditional logistic regression analysis was performed on the risk factors for skin itching. Results Univariate analysis revealed that the study group was compared with the control group in age, duration, smoking, alcohol consumption, hypertension, and insulin use (P<0.01 or P<0.05). The study group was compared with gender and HbAlc in the control group (P>0.05). The six factors including age, duration, smoking, alcohol consumption, hypertension and insulin use were used as independent variables. Multivariate unconditional logistic regression analysis showed that the factors associated with skin itching were age, duration and alcohol consumption. Conclusion Age, duration of illness and alcohol consumption are associated with the occurrence of skin itching in patients with type 2 diabetes. It is a high risk factor and should be taken seriously and appropriate methods should be adopted to improve the prognosis.

关 键 词：老年患者 2型糖尿病 皮肤瘙痒症 危险因素 

分 类 号：R592[医药卫生—老年医学]