2型糖尿病患者慢性并发症的患病率及相关因素分析

<正>糖尿病是一组呈全球流行趋势的慢性代谢性疾病。随着经济的发展和人民生活方式的改变以及人口老龄化,糖尿病患病率逐年增加是全球范围内的共同趋势。美国国家糖尿病委员会报道糖尿病病人患

Prevalence and Risk Factors Analysis of Chronic Complications in tie Inpatients with Type 2 Diabetes Mellitus

Objective To study the prevalence and risk factors analysis of chronic complications in the inpatients with type 2 diabetes and to provide evidence for further prevent and treatment.Methods A total of 1372 cases,651 men(47.40%)and 721 women(52.60%),with type 2 diabetes were investigated.Their age was 7-88 years with average of 59.65±14.05 years and diabetes duration was 0-27 years with average of 6.89±5.59 years.The basic condition of patients,diabetes duration,therapeutic condition,metabolic index,diagnosis and treatment of all kinds of diabetic chronic complications were investigated.Results The incidence of the chronic complications: cerebrovascular disease 8.16%,cardiovascular disease 13.78%,lower extremity arterial disease 4.88%,renal lesion 36.47%,ocular lesions 28.86%,peripheral neuropathy 63.92%,respectively.Multivariate Logistic regression analysis showed that age,diabetes duration,fasting plasma glucose,TC,HDL-C were independent risk factors for diabetes cerebrovascular disease.Multivariate Logistic regression analysis showed that age,systolic pressure,TC,HDL-C,24 hours urinary protein were independent risk factors for diabetes cardiovascular disease.Multivariate Logistic regression analysis showed that age,systolic pressure,diabetes duration,LDL-C were independent risk factors for diabetes lower extremity arterial disease.Multivariate Logistic regression analysis showed that age,diabetes duration,fasting plasma glucose,LDL-C were independent risk factors for diabetes ocular lesions.Multivariate Logistic regression analysis showed that age,systolic pressure,sex,urinary albumin,24 hours urinary protein,TC,TG were independent risk factors for diabetic nephropathy.Multivariate Logistic regression analysis showed that age,diabetes duration,2hPG were independent risk factors for diabetic peripheral neuropathy.Conclusions Age,disease duration,sex,hypertension,hyperglycemia,lipids disorder,HbA1c are risk factors of chronic complications in diabetes.Controlling these factors will help to prolong life,reduce the mortality and improve the quality of life.