{"id":64438,"date":"2008-09-05T00:00:00","date_gmt":"2008-09-05T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-factores-antropometricos-nutricionales-y-bioqua%c2%admicos-que-se-asocian-con-mayor-riesgo-de-ulcera-en-el-pie-de-los-pacientes-diabeticos-tipo-2\/"},"modified":"2008-09-05T00:00:00","modified_gmt":"2008-09-05T00:00:00","slug":"estudio-de-factores-antropometricos-nutricionales-y-bioqua%c2%admicos-que-se-asocian-con-mayor-riesgo-de-ulcera-en-el-pie-de-los-pacientes-diabeticos-tipo-2","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-factores-antropometricos-nutricionales-y-bioqua%c2%admicos-que-se-asocian-con-mayor-riesgo-de-ulcera-en-el-pie-de-los-pacientes-diabeticos-tipo-2\/","title":{"rendered":"Estudio de factores antropom\u00e9tricos, nutricionales y bioqu\u00edmicos que se asocian con mayor riesgo de \u00falcera en el pie de los pacientes diab\u00e9ticos tipo 2"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ricardo Gonz\u00e1lez Espadas <\/strong><\/h2>\n<p>Los pacientes diab\u00e9ticos tipo 2 tienen resistencia a la insulina en los tejidos perif\u00e9ricos, que se asocia a otros factores de riesgo cardiovascular que van a producir un da\u00f1o a nivel vascular perif\u00e9rico. El resultado de este da\u00f1o puede dar lugar a una lesi\u00f3n en el pie que si no es descubierta a tiempo y por tanto no recibe un buen tratamiento terminar\u00e1 con la amputaci\u00f3n del miembro afectado. Por tanto, con este inter\u00e9s nos planteamos la siguiente hip\u00f3tesis de trabajo: determinados factores antropom\u00e9tricos, nutricionales, y bioqu\u00edmicos relacionados con el riesgo vascular se asocian con mayor riesgo de \u00falcera en el pie de los pacientes diab\u00e9ticos tipo 2. es un dise\u00f1o de estudio casos-control, definimos casos a los pacientes diab\u00e9ticos tipo 2 con \u00falcera actual o previa y control a diab\u00e9ticos sin \u00falcera ni amputaci\u00f3n actual o previa. conclusiones: hemos encontrado una relaci\u00f3n con la presencia de \u00falcera: en la creatinina, el \u00e1cido \u00farico, que ha mostrado estar correlacionado con la neuropat\u00eda. De los factores de inflamaci\u00f3n: el fibrin\u00f3geno, la vsg y los leucocitos. La vsg adem\u00e1s esta relacionada con la neuropat\u00eda y el fibrin\u00f3geno con la vasculopat\u00eda. De los factores bioqu\u00edmicos: la apo a, la apo b, la apo e, la vldlc, tgvldl y la apobvldl. Apareciendo en el modelo como factores independientes para la presencia de \u00falcera la homociste\u00edna, la microalbuminuria(orina 24h) y la hba1c. Tambi\u00e9n se ha relacionado con presencia de lesi\u00f3n: la mala visi\u00f3n, la mala flexibilidad, la mala movilidad, la presencia de complicaciones cr\u00f3nicas como la neuropat\u00eda(nds), vasculopat\u00eda(\u00edndice t\/b y la presencia de pulsos) y retinopat\u00eda (fondo de ojo). Siendo independientes en el modelo nds, presencia de pulsos y fondo de ojo; en el estudio multivariante el monofilamento es el mayor predictor de \u00falcera. Si no introducimos esta variable en el modelo permanecen como independientes la retiopat\u00eda y la homociste\u00edna.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de factores antropom\u00e9tricos, nutricionales y bioqu\u00edmicos que se asocian con mayor riesgo de \u00falcera en el pie de los pacientes diab\u00e9ticos tipo 2<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de factores antropom\u00e9tricos, nutricionales y bioqu\u00edmicos que se asocian con mayor riesgo de \u00falcera en el pie de los pacientes diab\u00e9ticos tipo 2 <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ricardo Gonz\u00e1lez Espadas <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 09\/05\/2008<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Juan Ruiz Del Castillo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan  f Ascaso gimilio <\/li>\n<li>Mar\u00eda  teresa Perez vazquez (vocal)<\/li>\n<li>eduardo Faure nogueras (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ricardo Gonz\u00e1lez Espadas Los pacientes diab\u00e9ticos tipo 2 tienen resistencia a la insulina en los tejidos perif\u00e9ricos, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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