2型糖尿病与代谢综合征及二者相关性临床分析

目的探讨2型糖尿病（T2DM）住院患者代谢综合症（MS）的状况；T2DM、T2DM慢性并发症与代谢综合征的相关性。方法选取于2007-2008年符合2型糖尿病诊断的住院患者200例，统计糖尿病慢性并发症和MS患病率，并按是否合并MS分组。同时收集健康体检者资料200例，分别测定身高、体重、血压、血糖、血脂、尿酸、尿白蛋白等指标，共收集400例的资料，以判断MS患病率及二者相关性。结果T2DM住院患者合并代谢综合征的比例是40％，合并3项代谢异常的比例是26％，合并4项代谢异常的比例是14％，与健康对照组比较有统计学差异（P〈0.01）；合并MS的T2DM患者发生大血管并发症的比例是25％，显著高于无合并Ms组（P〈0.05）。结论①T2DM住院患者合并MS的比例比健康对照组显著升高；②T2DM合并MS组比无合并MS组发生大血管病变的比例显著升高；应对T2DM患者早期给予针对性干预，包括生活方式干预，除血糖达标外，同时针对各种心血管危险因素治疗，以预防临床心血管疾病的发生及再发生的目标。

Clinical analysis of correlation of metabolic syndrome with type 2 diabetes

Objective To investigate the incidence of metabolic syndrome (MS)in tyupe 2 diabetic patients and their correlation. Methods All 200 type 2 diabetic inpatients in deparment of endocrinology of Jiangmem Central Hospital were included in this observation from 2007 to 2008 and another 200 healthy control were selected.The incidence of type 2 daibetes with chronic complications with/or without metabolic syndrome, their correlaton were analyzed. In addition, the height,weight and blood pressure of the [patients ...