【摘要】 目的 :分析 2型糖尿病患者慢性并发症的发病情况。方法 :对 84 6例 2型糖尿病患者进行回顾性调查。其中男 4 39人 ,女 4 0 7人。年龄 32～ 85岁 (5 9.0± 6 .89岁 ) ,病程 0～ 39.9年 (7.2 3± 3.2 1年 )。根据内科全面检查结果下的并发症诊断进行统计。结果 :2型糖尿病各并发症发病率随病程、年龄增长而呈上升趋势 ,此趋势在年龄 4 0岁、病程 6～ 1 0年后尤为明显。以HT、DR、DN发病率最高 ,分别为 2 7.8%、2 8.5 %、2 7.7%。在不同年龄组 ,以DR发病最早 ,≤ 30岁组为 1 8.1 % ,以CHD、CVD上升最快 ,≥ 6 0岁组比≤ 30岁组增长分别为 5 .73倍、4 .86倍。在不同病程组 ,以HT发病最早 ,≤ 5年时已达 2 5 .8% ;以DR和PVD上升最快≥ 1 0年组 ,比≤ 5年组增长分别为 2 .76倍和 2 .75倍。结论 :糖尿病的并发症具有复杂性 ,多样性 ,危害大等特点 ,临床上应强调早期严格持久的控制血糖 ,纠正胰岛素抵抗 ,避免其他危险因素 ,并适当进行运动、控制饮食以达到防止并发症的产生、延长寿命、降低死亡率的目的更多还原

【Abstract】 Objective:To analyze the condition in the incidence of chronic complications in patients with type 2 diabetes.Methods:Medical records of 846 cases of type 2 diabetes were carefully and retrospectively investigated.There were 439 males and 407 females.The age was from 32 to 85 yr(59.0±6.89yr),and the course was from 0 to 39.9 yr (7.23±3.21yr).A statistic analysis was performed on the diagnosis of chronic complications based on medical examination.Results:The incidence of chronic complications in type 2 diabetes showed an ascending tendency with the increasing of course and age,especially after 40 years old and ill period of 6 to 10 years.The highest ratio of incidence were in HT?DR and DN as 27.8%?28.5%?27.7%.In different age group,DR appeared earliest,the ratio of incidence was 18.1% in ≤30 yr group;and the ratio rose most quickly in CHD and CVD,which in ≥60 yr group were separate 5.73 and 4.86 times as ≤30 yr group.In different course group,HP appeared earliest,the ratio of incidence had reached 25.8% when the ill period was less than 5 years;and the ratio rose most quickly in DR and PVD,that in ≥10 yr group were separate 2.76 and 2.75 times as those in ≤5 yr group.Conclusion:Diabetes is complicated?various and harmful.We should emphasize on strictly and insistently controlling glucose?improving insulin resistance?avoiding others dangerous factors?taking appropriate exercises and having meal plan in order to prevent complications?prolong the life and reduce mortality.更多还原