全国住院糖尿病患者慢性并发症及其相关危险因素10年回顾性调查分析

目的 了解我国糖尿病(DM)患者慢性并发症及相关大血管病变状况及其危险因素，为DM防治提供依据。方法 回顾性分析1991年1月1日至2000年12月31日期间在全国30个省、市、自治区医院内分泌科住院的T1DM及T2DM患者24496例的临床及实验室资料。结果 近10年我国住院DM患者DM并发症患病率分别为：高血压31．9％；脑血管病变12．2％；心血管病变15．9％下肢血管病变5．0％；眼部疾患34．3％；肾脏病变33．6％；神经病变60．3％，DM慢性并发症总患病率为73．2％。与各种DM慢性并发症相关的危险因素包括发病年龄、病程、人院时收缩压，人院时体重指数(BMI)、血糖、血脂，吸烟状况也与DM慢性并发症相关。结论我国住院DM患者慢性并发症患病率显著高于非DM者，接近国外资料报告的水平。与各种DM慢性并发症相关的可控制危险因素是收缩压。

Chronic diabetic complications and related macro-vascular diseases of in-patients with diabetes in mainland of China--A national retrospective analysis in recent 10 years

Objective To find out the prevalence rate of chronic diabetic complications and related macro vascular diseases and their risk factors, in order to provide evidence for diabetes prevention and control. Methods To analyze retrospectively the clinical and laboratory data on the 24 496 in patients with diabetes during Jan 1, 1991 to Dec 31, 2000 from 30 provinces, municipalities and autonomous regions. Results The prevalence rates of chronic diabetic complications and related macro vascular diseases were: 31.9% for hypertension, 12.2% for cerebrovascular diseases, 15.9% for cardiovascular diseases, 5.0% for lower extremity vascular diseases, 34.3% for eye diseases, 33.6% for nephropathy and 60.3% for neuropathy, and total rate of chronic diabetic complications and macro vascular diseases was 73.2%. The risk factors related to all kinds of chronic diabetic complications and macro vascular diseases were age, illness duration, systolic blood pressure, BMI, blood sugar, blood lipid and smoking. Conclusions The prevalence rates of chronic diabetic complications of in patients with diabetes mellitus were much higher than non diabetics, near to their levels in western countries. The controllable risk factor of chronic diabetic complications was systolic blood pressure.