【摘要】 目的:分析青海少数民族贫困地区2型糖尿病临床特征及治疗情况。方法:针对青海省囊谦县县医院登记的42例2型糖尿病患者,按糖尿病危险因素(性别、年龄、高血压、血脂异常、超重或肥胖)个数分成≥3个组(组1)和<3个组(组2),比较两组临床特点,总结用药情况。结果:患者平均年龄54.6±12.0岁,空腹和餐后血糖分别为9.1±3.2 mmol/L和10.9±4.7mmol/L。其中81.0%应用降糖药,23.5%接受胰岛素治疗。糖尿病家族史不足20%,近90%的患者超重或肥胖,组1所有患者均超重或肥胖,组2为70.6%。组1合并高血压患者多。最常用的降压药是0号和中药。结论:不良生活方式可能是该地区糖尿病发病的主要原因,应重视医生对患者的宣教工作。更多还原

【Abstract】 Objective:To investigate the clinical characteristics in patients with type 2 diabetes mellitus in Nangqian Hospital in Qinghai.Methods:Forty-two patients who registered from Nangqian Hospital in Qinghai were divided into two groups according to the number of risk factors,≥3 risk factor group(group 1)and <3group(group 2).The clinical features and medications of the patients were analyzed.Results:The mean age was54.6±12.0 years.Current fasting and postprandial glucose levels were 9.1±3.2 and 10.9±4.7 mmol/L individually.Only 81.0% patients used antidiabetic medicine,23.5% treated with insulin.Positive family history of diabetes was less than 20%.Nearly 90% of patients were overweight or obese.All patients were overweight or obese in group 1 and were 70.6% in group 2.There were more hypertensive patients in group 1.The most commonly used antihypertensive drugs was zero tablet and traditional Chinese medicine.Conclusion:Unhealthy lifestyle may be the main reason for the onset of diabetes in the region.More attention should be paid to the education of patients from the doctors.更多还原