CAJ | 학술논문

目的：了解糖尿病患者发生瘙痒症的部位及相关影响因素。方法选取2010年1月至2013年1月间入院诊治的90例糖尿病瘙痒症患者，设为实验组，回顾性分析其临床资料，并观察总结患者瘙痒症的发生部位。选取同期入院诊治的糖尿病非瘙痒症患者90例，设为对照组，总结并分析发生糖尿病瘙痒症的相关影响因素。结果实验组患者以肛周及外生殖器瘙痒最多，占36.67%，其次为全身瘙痒，占23.33%。经单因素分析显示，年龄、病程、吸烟饮酒、血脂异常、视网膜病变、周围神经病变、糖尿病肾病、大血管病变是糖尿病瘙痒症的影响因素（P<0.05）。经多因素Logistic逐步回归分析显示，65岁以上、≥10年病程、合并视网膜病变是糖尿病患者发生瘙痒症的主要影响因素。结论糖尿病瘙痒症以肛周及外生殖道器、全身瘙痒发生居多，糖尿病患者65岁以上、≥10年病程、合并视网膜病变是发生瘙痒症的主要影响因素。
목적：료해당뇨병환자발생소양증적부위급상관영향인소。방법선취2010년1월지2013년1월간입원진치적90례당뇨병소양증환자，설위실험조，회고성분석기림상자료，병관찰총결환자소양증적발생부위。선취동기입원진치적당뇨병비소양증환자90례，설위대조조，총결병분석발생당뇨병소양증적상관영향인소。결과실험조환자이항주급외생식기소양최다，점36.67%，기차위전신소양，점23.33%。경단인소분석현시，년령、병정、흡연음주、혈지이상、시망막병변、주위신경병변、당뇨병신병、대혈관병변시당뇨병소양증적영향인소（P<0.05）。경다인소Logistic축보회귀분석현시，65세이상、≥10년병정、합병시망막병변시당뇨병환자발생소양증적주요영향인소。결론당뇨병소양증이항주급외생식도기、전신소양발생거다，당뇨병환자65세이상、≥10년병정、합병시망막병변시발생소양증적주요영향인소。
Objective To investigate the occurrence of pruritus in patients with diabetes and related factors of the site. Methods 90 cases with diabetes pruritus from January 2010 to January 2013 were enrolled into test group, and clinical data were analyzed, to observe the occurrence of pruritus and its site. 90 cases of pruritus without diabetes were selected into control group. The occurrence of diabetes pruritus related factors were summarized and an-alyzed. Results The patients with perianal and genital itching most, accounting for 36.67%, followed by generalized itching, accounting for 23.33%. After univariate analysis showed that age, duration of smoking, drinking, dyslipid-emia, retinopathy, peripheral neuropathy, diabetic nephropathy, and macrovascular disease were diabetic pruritus fac-tors (P<0.05). Multivariate Logistic regression analysis showed that over 65 years,≥10 years of disease duration, dia-betic retinopathy in diabetic patients with pruritus were main factors. Conclusion Diabetes pruritus is mostly occur in the perianal and external genital tract, and the whole, body. Over 65 year-old, diabetes,≥10 years of disease dura-tion, and diabetic retinopathy are pruritus main factors.