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123例糖尿病死亡原因分析

The analysis of 123 death cases of diabetic patients

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【作者】 杨东晓余晓波韦燕

【Author】 YANG Dong-xiao,YU Xiao-bo,WEI Yan Dept.of endocrinology,The 3rd People’s Hospital of Hechi,Hechi 547000,China

【机构】 河池市第三人民医院内分泌科

【摘要】 目的:探讨糖尿病患者死亡病因及防控。方法:对1988~2008年本院糖尿病住院患者123例死亡原因进行回顾性分析,分别记录Ⅰ型糖尿病及Ⅱ型糖尿病两组。结果:1糖尿病患者住院量增加,病死率下降;2型糖尿病患者主要死于糖尿病肾病尿毒症,型糖尿病患者主要死于脑血管疾病(26.1%),心血管疾病(18.3%),感染(15.3%),糖尿病肾病(11.8%),恶性肿瘤(11.1%)。3死于酮症酸中毒(2%)和非酮症高渗性昏迷(2%)者日渐减少。结论:Ⅰ型糖尿病主要死于糖尿病肾病尿毒症,Ⅱ型糖尿病主要死于心脑血管疾病,糖尿病发病率日渐增加,加强防控是工作的重点。

【Abstract】 Objective:To investigate the causes of death in diabetic patients and ways to prevent and control them.Methods:The causes of death of 123 diabetic patients in our hospital from 1988 to 2008 were retrospectively analyzed,which were recorded as type I diabetes and type II diabetes groups.Results:① The hospitalization of diabetic patients increased,while the mortality rate decreased;② Patients with type I diabetes mellitus died mainly of diabetic nephropathy with uremia,while patients with type II diabetes mellitus died mainly of cerebrovascular diseases(26.1%),cardiovascular diseases(18.3%),infection(15.3 %),diabetic nephropathy(11.8%) and malignancy(11.1%).③ The number of patients died from ketoacidosis(2%) and non-ketotic hyperosmolar coma(2%) was declining.Conclusions:Patients with type I diabetes die mainly of uremic diabetic nephropathy while type II diabetic patients mainly from cardiovascular and cerebrovascular diseases.With the increasing incidence of diabetes,it is the fucos of work to strengthen the prevention and control of the disease.

【关键词】 糖尿病死因合并症
【Key words】 diabetes mellituscause of deathcomplications
  • 【文献出处】 华夏医学 ,Acta Medicinae Sinica , 编辑部邮箱 ,2010年01期
  • 【分类号】R587.1
  • 【下载频次】52
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