江津地区老年2型糖尿病患者皮肤病发病情况及相关因素分析

目的了解重庆江津地区老年2型糖尿病合并皮肤病的患病情况并分析其相关因素，为临床治疗提供依据。方法以重庆江津中心医院226例老年2型糖尿病住院病例为研究对象，分析其合并皮肤病的患病率及类型特征。并以其中无皮肤病患者为对照，分析糖尿病合并皮肤病相关因素。结果老年2型糖尿病患者皮肤病病变患病率为83．2％，其中前3位为皮肤真菌感染（占31．9％）、湿疹（11．9％）和皮肤瘙痒症（7．9％）。多凼素非条件Logistic回归分析显示，糖尿病并发症（OR=4．54）、高血压（OR=1．81）及血脂异常（OR=1．67）为老年糖尿病并发皮肤病的危险因素。结论重庆江津地区老年2型糖尿病患者常见皮肤病为皮肤感染和湿疹，可能与糖尿病患者糖尿病并发症、高血压及血脂异常有关。临床应重视对危险因素的控制，以降低老年糖尿病患者皮肤病的发生。

Analysis of the prevalence and related factors of skin disease in elderly patients with type 2 diabetic in Jiangjin Dis-trict

Objective To investigate the prevalence and associated factors of skin disease in elderly patients with type 2 diabetes mellitus in Jiangjin of Chongqing. Methods and materials Two hundred and twenty-six type 2 diabetic elderly patients were analyzed for prevalence and characteristics of skin diseases as well as associated risk factors. Results The over- all prevalence of skin disease in type 2 diabetic elderly patients was 83.7 %. The 3 most common skin diseases were fungal in- fection （31.9%）, eczema （11.9%） and pruritus （7.9%）. Multi-factor non-conditional logistic regression analysis showed that diabetic complication （OR = 4.54）, hypertension （OR = 1.81） and dyslipidemia （OR = 1.67） were major associated risk factors of skin disease in type 2 diabetic elderly patients. Conclusions Infection and eczema are common dermatological abnormality in type 2 diabetic elderly patients in Jiangjin of Chongqing. Major risk factors, diabetic complication, hypertension and dyslipidemia, should be prevented or treated to reduce the prevalence of skin disease in these patients.