567例老年与非老年2型糖尿病患者的临床特点分析

目的比较老年与非老年2型糖尿病（T2DM）临床特征的异同。方法收集同期住院治疗的285例老年糖尿病患者及282例非老年糖尿病患者的临床资料，比较病程、体质量指数、血压、空腹血糖、血脂、糖化血红蛋白及并发症情况。结果病程、舒张压、胆固醇等方面，两组差异有统计学意义(P＜0.05)，老年组病程长，非老年组舒张压、血总胆固醇较高；两组患者空腹血糖、糖化血红蛋白、血压、胆固醇、甘油三酯、低密度脂蛋白达标率均较低，非老年组更低；老年组患者心、脑血管疾病、视网膜病变等眼部并发症、感染性疾病等的患病率较非老年组高(P＜0.05)。结论老年和非老年糖尿病患者血糖、血脂、血压控制达标率均低，与糖尿病防治指南的控制目标有较大差距，需要进一步重视 T2DM治疗的全面达标；老年糖尿病患者心脑血管疾病、视网膜病变、感染并发症的患病率较高，应加强防治；非老年糖尿病患者应加强血脂、血压的控制。

Clinical characteristics of aging and no aging patients with type 2 diabetes

To compare clinical characteristics of aging and non aging patients with type 2 diabetes． MethodsClinical information of 285 aging and 282 no aging patients with type 2 diabetes were collected, and disease duration, weight index, blood pressure, fast glucose, serum lipid, glycosylated hemoglobin A1c(GHbA1c) and complications were compared． ResultsThere were significant differences between the two groups in disease  duration, diastolic pressure, and cholesterol (P＜0.05). Standard Achieving rates of clinical index including blood pressure, fast glucose, serum lipid, and GHbA1c in both groups were low, especially in the non aging group. Incidence of cardiocerebravascular complications, retinopathy and infectious diseases of the aging group were higher than those of the non aging group (P＜0.05). ConclusionStandard Achieving rates of clinical indexes of the aging and non aging patients with type 2 diabetes are low, far from the controlling target of treatment guideline, and complications appear ahead of schedule. Prevention and treatment of non aging diabetes should be enhanced. Cardiocerebrarascular complications, retinopathy and infectious diseases are the focus of treatment for aging diabetes.