NGHIÊN CỨU BỆNH THẦN KINH NGOẠI BIÊN DO ĐÁI THÁO ĐƯỜNG BẰNG THANG ĐIỂM MICHIGAN VÀ CÁC YẾU TỐ LIÊN QUAN Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TÍP 2 TẠI BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ NĂM 2024

Abstract

Background: Peripheral neuropathy (PTN) due to diabetes mellitus (DM) accounts for about 50% of diabetic patients worldwide. In Vietnam, the incidence of the disease may be higher due to lack of screening and early diagnosis, poor glycemic control and other promoting factors. Objectives: Determine the rate of PTN of lower limbs due to diabetes using the Michigan scale and related factors in patients with type 2 diabetes at Can Tho General Hospital. Materials  and  methods: Cross-sectional descriptive study with analysis in patients with or newly diagnosed with type 2 diabetes at Can Tho General Hospital. Results: The average age was 64.45 ± 10.77, with a higher rate of women than men (71.5% and 28.5%). The rate of BTKNB according to the screening questionnaire score was 33.3%, the clinical examination score was 71.5% and meeting both criteria was 30.9%. Duration of diabetes, ABI index, smoking, microalbuminuria and macroalbuminuria, lower limb atherosclerosis were factors associated with BTKNB. Of which, long duration of diabetes and smoking were independent risk factors for lower limb BTKNB due to diabetes. Conclusion: Lower limb BTKNB due to diabetes is a common complication in patients with long duration of diabetes, smoking, albuminuria and atherosclerosis.