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384例老年糖尿病病人并发症与死因分析
引用本文:高漱英,李建树.384例老年糖尿病病人并发症与死因分析[J].南京医科大学学报,1994,14(3):358-360.
作者姓名:高漱英  李建树
作者单位:南京医科大学第一附属医院老年医学科,南京医科大学第一附属医院老年医学科,南京医科大学第一附属医院老年医学科,南京医科大学流行病学教研室 南京 210029,南京 210029,南京 210029,南京 210029
摘    要:通过384例老年糖尿病人并发症与主要死因分析结果,病死率为17.5%,死亡第一位是并发血管病变,占53.9%;第二位是合并恶性肿瘤,为26.8%。因糖尿病性昏迷和急性感染死亡7例,其死亡构成比不足血管病变的1/5。在并发血管病变179例中,肾脏病变病死率最高;其中有高血压组病死率为25.9%,是无高血压组11.3%的2.3倍,且有显著性差异(P<0.05)。故早期有效的控制糖尿病病人的高血压,对防止糖尿病的并发症和降低其病死率极为重要。

关 键 词:糖尿病  并发症  死亡率  老年人

Causes of Death and Complications in 384 Senile Diabetics
Gao Shuying,Zou Chunying,Gu Yan.Causes of Death and Complications in 384 Senile Diabetics[J].Acta Universitatis Medicinalis Nanjing,1994,14(3):358-360.
Authors:Gao Shuying  Zou Chunying  Gu Yan
Institution:Gao Shuying,Zou Chunying,Gu Yan. Department of Geriatrics,The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,PRC. Li Jianshu. Department of Infectious Diseases,ditto
Abstract:Complications and main causes of death in 384 senile diabetics were analyzed. The mortality was 17.5%, of which complicated vascular diseases and malignancy were 53.7% and 26.9% respectively. Only 7 cases died of diabetic coma and acute infection, occupying less than 1/5 of the deaths from vascular diseases, whereas death from diabetic nephropathy was much higher. The fatality rate in all patients with hypertension (25.9%) was 23 times Higher than that of patients with normal blood pressure (11.3%). This is statistically significant (P<0.05). Therefore, in order to prevent occurrence of diabetic complications and to lessen the mortality of diabetes mellitus. it is, important to control diabetic hypertension effectively in early stage.
Keywords:Diabetes mellitus  fatality rate  complications  vascular diseases
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