Analysis of morbidity and risk factors of diabetic peripheral neuropathy in rural areas of Linhai city in Zhejiang Province
NI Gui-lian;CHEN Gan-ming;YANG Chang-you;REN He-ju;Linhai First People's Hospital of Zhejiang;
Objective To understand the morbidity and risk factors of diabetes peripheral neuropathy(DPN) in rural areas of Linhai in Zhejiang and to provide the base for preventing DPN. Methods The managed diabetic patients in 38 rural communities of Linhai were screened for DPN during 2010-2013,621 hyperglycemic subjects were investigated, 247 males and 374 females, 31-89 years old, average age:(60.5 ±11.4) years old. DPN was diagnosed according to the Toronto Clinical Scoring System(TCSS). The subjects were divided into DPN group(212 cases) and non-DPN group(409 cases). The potential risk factors associated with DPN were analyzed by stepwise binary logistic regression analysis. Results The morbidity of DPN in the diabetic patients in 38 rural communities of Linhai was 34.14%. There were significant differences of age, diabetes duration, history of hypertension, waistline, body mass index(BMI), systolic blood pressure(SBP), creatinine, uric acid(UA), triglyceride(TG) and total cholesterol(TC) between two groups(P 0.01). Binary logistic regression analysis showed that age, diabetes duration,hypertension, waistline, BMI and UA were the independent risk factors for DPN(P0.01). Conclusion The controlling of plasma glucose, blood pressure and metabolic disorder may be important for preventing DPN.