450例住院老年糖尿病患者死因分析

目的了解住院老年糖尿病患者死亡原因和特点。方法回顾和总结10所综合性医院450例老年糖尿病死亡病例,并将其与同期住院的152例非老年糖尿病死亡病例进行对照分析。结果前3位死因老年组为脑血管病、心血管病、肾衰竭,非老年组为酮症酸中毒、脑血管病、心血管病,组间死因构成差异有统计学意义(P=0.000);在老年组随着年龄的增长,合并肿瘤及感染的患者住院病死率增加;老年组与非老年组男性死因构成比差异无统计学意义(P=0.329)。老年组女性死因以脑、心血管病变及肾衰竭等慢性合并症为主,非老年组女性以酮症酸中毒等急性合并症为主差异有统计学意义(P=0.000);老年组高血压及血脂异常发生率高于非老年组,差异有统计学意义(P=0.000)。结论重视对绝经期后女性心血管病的防治,预防糖尿病慢性合并症,保护脏器功能,有效的控制高血糖、高血压、高血脂,积极防治感染,对减少老年糖尿病患者的死亡有重要意义。

The Analysis of Death Causes in 450 Senile Diabetic Inpatients

Objective To understand the main causes of death and characteristics of elderly hospitalized patients with diabetes. Methods Reviewing and summarizing 450 cases of elderly patients who died of diabetes and 152 cases of non-elderly hospitalized patients at the same period in 10 General Hospitals. Results The three leading causes of death for elders are cerebrovascular disease, cardiovascular disease and kidney failure, while non-elderly group are ketoacidosis, cerebrovascular disease and cardiovascular disease. The difference between the two groups' cause of death was statistically significant(P=0.000); with the increase of age, tumors combined with infections greatly heightened the mortality rates; male deaths between the elderly and non-elderly group pose no significant difference(P=0.329); for older women, brain death, cardiovascular disease and renal failure, along with other chronic complications are the main causes of death, while women in the non-elderly group mainly have acute complications such as ketoacidosis, the difference was statistically significant(P=0.000); The elderly group hypertension formation rate is higher than the non-elderly group(P=0.000), the elderly group blood fats unusual formation rate is higher than the non-elderly group(P=0.000). Conclusion Prevention of chronic diabetic complications, protection of organ function and effective control of high blood sugar, high blood pressure, high cholesterol, active infection control, attention to women after menopause cardiovascular disease prevention,has a great significance in the reduction of mortality rates for elderly patients with diabetes.