【摘要】 目的了解2型糖尿病(T2DM)住院患者慢性并发症发病情况及相关因素,为防治糖尿病慢性并发症提供资料。方法对2013年7月—2014年7月收治的519例病例资料较完整的T2DM患者进行回顾性分析,记录患者并发症及伴随疾病(包括心脏舒张功能减退,大动脉粥样硬化、粥样斑块形成、狭窄,糖尿病视网膜病变,糖尿病肾病,糖尿病周围神经病变,高血压,脂肪肝)的发生情况,并分析与病程、体重、血糖及血脂的相关性。结果住院T2DM并发症以动脉粥样硬化的发生率最高,达88.25%,在病程>10年、血糖控制不良及血脂异常高于病程≤10年、血糖良好及血脂达标组,在病程组差异有统计学意义(P<0.05);糖尿病视网膜病变、肾病、周围神经病变在病程>10年和血糖控制不良情况下的发生率均明显高于病程≤10年和血糖控制良好,差异有统计学意义(P<0.05)。结论对T2DM患者体重、血糖、血压、血脂等并发症危险因素的综合控制,可有效防治T2DM并发症的发生发展。更多还原

【Abstract】 Objective Analyze the incidence and its related factors of chronic complication in inpatient type 2 diabetes mellitus(T2DM) patients. Provide information for the prevention and treatment of chronic diabetic complications. Method The clinical data about 519 relatively complete T2 DM patients from July 2013 to July 2014 were retrospectively analyzed. The complications and concomitant diseases(including diastolic heart dysfunction; large artery atherosclerosis, plaque formation and stenosis;diabetic retinopathy; diabetic nephropathy; diabetic peripheral neuropathy; hypertension and fatty liver) in T2 DM patients were recorded and the correlation with course of disease, body weight, blood glucose and blood lipid was analyzed. Result The incidence of atherosclerosis in the complications of T2 DM was highest(88.25%), and which was higher in patients with the course of disease >10 years, poor control of blood sugar and abnormality of blood lipid than that with the course ≤10 years and good control of blood sugar and lipid,there is a statistical significance in patients with the course of disease group.The incidence rate of diabetic retinopathy, nephropathy, neuropathy in patients with the course of disease >10 years and poor control of blood sugar cases was significantly higher than that with the course ≤10years and good control of blood sugar.Conclusion Comprehensive control of body weight, blood glucose, blood pressure,blood lipids and other risk factors for complications can effectively prevent the development of complications in T2 DM patients.更多还原