老年2型糖尿病患者慢性并发症患病率及其相关因素分析

目的分析老年2型糖尿病患者慢性并发症的患病率及相关危险因素。方法选择2017年1～12月我院内分泌科住院的286例老年2型糖尿病患者,收集所有患者的临床资料以确定住院原因,分析慢性并发症的患病率及临床特点,二分类Logistic法分析2型糖尿病慢性并发症的相关因素。结果 (1)老年2型糖尿病患者住院的主要原因是慢性并发症和高血糖,分别占60.8%和33.0%;(2)老年2型糖尿病患者中慢性并发症的患病率:糖尿病肾病17.83%,视网膜病变24.13%,周围神经病变51.40%,周围血管病变62.59%,心血管病变32.17%,脑血管病变26.22%。患者的年龄、收缩压、甘油三酯、低密度脂蛋白胆固醇、血尿酸、空腹血糖、空腹C肽是并发症的相关危险因素。结论 (1)老年2型糖尿病患者住院的主要原因是慢性并发症和高血糖;(2)年龄是2型糖尿病慢性并发症的不可控因素;收缩压、血尿酸、空腹血糖及低密度脂蛋白胆固醇是所有2型糖尿病慢性并发症的可控危险因素;低密度脂蛋白胆固醇是微血管病变的主要可控危险因素;积极综合治疗可控因素尤为重要。

Analysis on the prevalence rate and related factors of chronic complications in elderly patients with type 2 diabetes

Objective To analyze the prevalence rate and related risk factors of chronic complications in elderly patients with type 2 diabetes.Methods A total of 286 elderly patients with type 2 diabetes who were hospitalized in the department of endocrinology in our hospital from January to December 2017 were selected as the study subjects.The clinical data of all patients were collected to determine the causes of hospitalization.The prevalence rate and clinical characteristics of chronic complications were analyzed,and two-class Logistic method was used to analyze the related factors of chronic complications of type 2 diabetes.Results(1)The main causes of hospitalization for elderly patients with type 2 diabetes were chronic complications and hyperglycemia,accounting for 60.8%and 33.0%respectively.(2)The prevalence rate of chronic complications in elderly patients with type 2 diabetes:diabetic nephropathy 17.83%,retinopathy 24.13%,peripheral neuropathy 51.40%,peripheral vascular disease 62.59%,cardiovascular disease 32.17%,cerebrovascular disease 26.22%.Age,systolic blood pressure,triglyceride,low-density lipoprotein cholesterol,blood uric acid,fasting blood glucose,and fasting C-peptide were related risk factors for complications.Conclusion (1)The main causes of hospitalization for elderly patients with type 2 diabetes are chronic complications and hyperglycemia.(2)Age is an uncontrollable factor in chronic complications of type 2 diabetes;systolic blood pressure,serum uric acid,fasting blood glucose,and low-density lipoprotein cholesterol are controllable risk factors for all chronic complications of type 2 diabetes;LDL cholesterol is a major controllable risk factor for microvascular disease;active and comprehensive treatment of controllable factors is particularly important.