1991～2000年全国住院糖尿病患者慢性并发症及相关大血管病变回顾性分析

目的：了解我国糖尿病患者慢性并发症发病情况与危险因素,为糖尿病防治提供依据。方法：对除西藏,台湾、香港和澳门4个地区外全国30个省、市、自治区1991年1月1日至2000年12月31日在内分泌科住院的24496例糖尿病患者的临床及实验室检查资料进行统计及回顾性分析,结果：30个省、市、自治区糖尿病并发症患病率分别为：高血压31．9％,脑血管并发症12．2％,心血管并发症15．9％,下肢血管并发症5．05,眼部并发症34．3％,肾脏并发症33．6％,神经病变60．3％,总患病率为73．2％,与各种糖尿病慢性并发症均相关的危险因素包括发病年龄,病程,入院时收缩压,结论：20世纪90年代全国住院糖尿病患者慢性并发症发病率相当高,接近发达国家的水平,各种糖尿病慢性并发症均有其相关的可控制危险因素－收缩压。

A nationwide retrospective analysis on chronic diabetic complications and related macrovascular diseases of in-patients with diabetes during 1991-2000

Objective To investigate the prevalence rates of chronic diabetic complications and their risk factors.Methods We analyzed retrospectively the clinical and laboratory data on the24496in-patients from30provinces,municipalities,and autonomous regions during January1,1991to December31,2000.Results The prevalence rates of chronic diabetic complications and related macrovascular diseases were31.9%for hypertension,12.2%for cerebrovascular diseases,15.9%for cardiovascular diseases,5.0%for lower extremity vascular diseases,34.3%for retinopathy,33.6%for nephropathy,and60.3%for neuropathy,total rate of chronic diabetic complications and macrovascular diseases was73.2%.The risk factors related to all kinds of chronic diabetic complications and macrovascular diseases were age,illness duration,and systolic blood pressure.Conclusions The prevalence rates of chronic diabetic complications of in-patients with diabetes mellitus are rather high,near to their level in developed countries.The controllable risk factor of chronic diabetic complications is systolic blood pressure.