糖尿病患者并发慢性并发症相关危险因素分析

目的 探讨糖尿病患者并发慢性并发症的相关危险因素. 方法 回顾性分析738例糖尿病患者的临床资料,对患者糖尿病诊断年龄、病程、糖化血红蛋白水平、吸烟及家族史、体重指数、高血压、高血脂等相关危险因素进行分析. 结果 糖尿病患者并发慢性并发症中,以糖尿病神经病变、糖尿病眼病及糖尿病肾病占前3位,其他依次为下肢血管病变、心血管病变及脑血管病变等;在糖尿病慢性并发症相关危险因素中,糖尿病诊断年龄、糖尿病病程、血压控制情况和糖化血红蛋白与多种慢性并发症均相关（r=1.133、1.214、0.367、1.056,均P＜0.05）,发病年龄越低、病程越长、血糖和血压控制越差,慢性并发症患病率越高（均P＜0.05）. 结论 糖尿病慢性并发症发生原因较多,积极控制血糖、血压,有助于降低其发生率.

Clinical study on chronic complications in diabetic patients

Objective To investigate the chronic complications of diabetes-related conditions and associated risk factors. Methods Clinical data of 738 diabetic patients with chronic complications were retrospectively analyzed.The patients age,duration,glycosylated hemoglobin levels,smoking and family history,body mass index,systolic blood pressure,diastolic blood pressure,triglycerides,cholesterol,high density lipoprotein,low-density lipoprotein-related risk factors etc were analyzed. Results The diabetic patients with chronic complications,was neuropathy,diabetes,eye disease and diabetic nephropathy accounted for the top three,followed by the lower limb vascular disease,cardiovascular disease and cerebrovascular disease.The relevant factors analysis revealed that influential factors had relationship with il1 ness course,age,drinking alcohol,blood pressure and blood-fat Conclusion There were many reasons for diabetic chronic complications,blood sugar.blood pressure,blood lipid should be actively controlled,and regular health education should be requested.