摘要
目的了解2型糖尿病患者糖尿病肾病(DN)患病率及其相关因素。方法对常住本溪市中心城区的2276例2型糖尿病患者进行问卷调查,采集临床资料。结果糖尿病患者DN患病率为20.43%,病程≥10 a者DN患病率(10 a～为25.66%,≥20 a～为39.83%)随病程增长而上升(x^2=17.707,P<0.05)。吸烟(24.46%)、高血压(22.91%)、血脂异常(23.24%)、高尿酸血症(26.83%)、HbA_(1C)≥8%(24.25%)、合并糖尿病周围神经病变(35.22%)者DN患病率高于无相关因素(分别为18.97%,17.58%,12.31%,19.19%,18.50%,13.53%)者(P<0.05)。饮茶者DN患病率低不饮茶者(x^2=5.713,P<0.05)。吸烟(OR=1.817,95%CI:1.372～2.185)、高血压(OR=1.115,95%CI:1.053～1.663)、血脂异常(OR=1.605,95%CI:1.195～2.154)、高尿酸血症(OR=1.544,95%CI:1.269～1.847)、HbA_(1C)≥8%(OR=1.294,95%CI:1.021～1.640)、合并糖尿病周围神经病变(OR=5.797,95%CI:4.580～7.338)是DN患病危险因素。结论有不良生活习惯及糖尿病并发症者DN患病率较高,且是DN患病的危险因素。
Objective To understand the prevalence of diabetic nephropathy（DN） in type 2 diabetes mellitus and analyze its associated factors. Methods Questionnaire survey and other clinical data from 2 276 of type 2 diabetes patients living in the center area of Benxi were collected. Statistical analysis was carried with SPSS 13.0 software. Results The prevalence of DN was 20.43%, and for those with DM duration longer than 10 yrs, it was increased with long duration （X^2=17.707, P〈0.05）. The prevalence of DN in those with smoking, hypertension, hyperlipemia, hyperuricemia, HbA1c ≥ 8%, diabetic polyneuropathy （DPN） was significantly higher than those in contrasts（P〈0.05）. The prevalence of DN in those drinking tea was lower than in those without drinking tea （X^2=-5.713, P〈0.05）. Conclusions Long duration of DM, smoking, hypertension, hyperlipemia, hyperurieemia, HbA1c≥8%, and DPN were risk factors. Drinking tea may delay the occurrence of DN.
出处
《中国慢性病预防与控制》
CAS
北大核心
2009年第6期599-600,603,共3页
Chinese Journal of Prevention and Control of Chronic Diseases
关键词
糖尿病
2型
肾病
患病率
相关因素
Diabetes mellitus, type 2
Nephropathy
Prevalence
Associated factors
