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Frequency of neuropathic pain in type 2 diabetes mellitus at the Lagos University Teaching Hospital: A questionnaire-based outpatient survey

机译:拉各斯大学教学医院的2型糖尿病患者神经性疼痛的发生频率:基于问卷的门诊调查

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Background: Neuropathic pain (NP) is one of the most common complications of type 2 diabetes mellitus (DM). The frequency of NP in population living with type 2 DM is unclear. Objective: To determine the frequency of NP symptoms in patients with type 2 DM. Materials and Methods: This cross-sectional study recruited 250 type 2 DM patients attending the outpatient diabetes clinic of the Lagos University Teaching Hospital (LUTH) over a period of 4 weeks. Demographic data and data regarding current DM treatment, prior diagnosis of NP, and current treatment of NP were obtained using a structured questionnaire. Glycaemic status of the patients was assessed measuring fasting blood glucose and glycosylated hemoglobin level. Presence of NP was documented using the painDETECT questionnaire (PDQ). Results: NP was present in 54 out of the 250 type 2 DM patients studied giving a frequency of 21.6%. Out of 54 patients 36 (66.7%) were females and 18 (33.3%) were males giving a male: female ratio of 1:2 (P P = 0.05). Glycaemic status and disease duration did not differ among DM patients with or without NP. Only 10 out of 54 (18.5%) patients were treatment naοve at the time of study; however, out of the 44 patients receiving treatment only 9 (20.5%) were on appropriate treatment compared to international guidelines on treatment of diabetic NP. Conclusion: NP was present in 21.6% of type 2 DM patients attending the LUTH.
机译:背景:神经性疼痛(NP)是2型糖尿病(DM)最常见的并发症之一。 2型糖尿病患者中NP的发生频率尚不清楚。目的:确定2型糖尿病患者的NP症状频率。材料和方法:这项横断面研究招募了250名2型DM患者,这些患者在4周的时间内到拉各斯大学教学医院(LUTH)的门诊糖尿病诊所就诊。人口统计数据和有关当前DM治疗,NP先前诊断和NP当前治疗的数据是使用结构化问卷获得的。通过测量空腹血糖和糖基化血红蛋白水平评估患者的血糖状态。使用painDETECT问卷(PDQ)记录了NP的存在。结果:在研究的250名2型DM患者中,有54名存在NP,发生频率为21.6%。在54位患者中,女性为36位(66.7%),男性为18位(33.3%),男女之比为1:2(P P = 0.05)。有或没有NP的DM患者的血糖状态和疾病持续时间无差异。在研究之初,只有54名患者中有10名(18.5%)尚未接受治疗。然而,与国际糖尿病NP治疗指南相比,在接受治疗的44例患者中,只有9例(20.5%)接受了适当的治疗。结论:参加LUTH的2型DM患者中有NP占21.6%。

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