Dolor por polineuropatía simétrica distal en la diabetes mellitus

Autores/as

DOI:

https://doi.org/10.5294/aqui.2021.21.3.7

Palabras clave:

Neuropatías diabéticas, dolor crónico, diabetes mellitus, complicaciones, fisioterapia, enfermería

Resumen

Objetivo: evaluar el dolor neuropático (DN), su intensidad y sus complicaciones en personas con diabetes mellitus tipo 2 (DM2) en una ciudad del este de São Paulo.

Método: estudio transversal realizado con 96 individuos con DM2 atendidos en unidades básicas de salud en São João da Boa Vista-SP. Se utilizaron los siguientes instrumentos para rastrear el DN: el instrumento para la detección de la neuropatía de Michigan, la evaluación de signos y síntomas neuropáticos de Leeds, el cuestionario Douleur Neuropathique 4 y el inventario breve del dolor. Los datos se analizaron mediante estadística descriptiva e inferencial, con un nivel de significancia del 5 %.

Resultados: de las 96 personas con DM2 durante más de cinco años, el 22,9 % tenía dolor. El DN se relacionó con niveles altos de glucosa en sangre en ayunas (media = 214 ± 65,58 mg/dl; p = 0,0002), la hemoglobina glucosilada (media = 8,8 ± 0,11 %; p < 0,001), la ausencia de una dieta (p = 0,0066), la obesidad (p = 0,023) y la hipertensión arterial (p < 0,001).

Conclusión: los altos valores en las tasas de hemoglobina glucosilada aumentaron tres veces la probabilidad de DN. La detección y el tratamiento de la neuropatía diabética dolorosa es un desafío, pero la adopción de un protocolo de detección contribuye a la prevención secundaria de esta manifestación.

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Publicado

2021-09-30

Cómo citar

Oggiam, D. S., Jorgetto, J. V., Chinini, G. L., Kusahara, D. M., & Gamba, M. A. (2021). Dolor por polineuropatía simétrica distal en la diabetes mellitus. Aquichan, 21(3), e2137. https://doi.org/10.5294/aqui.2021.21.3.7

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