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2型糖尿病并发症流行病学调查及危险因素 被引量:25

Epidemiological Investigation and Risk Factors of Type 2 Diabetes Complications
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摘要 目的分析广西梧州市某院2型糖尿病并发症及相关危险因素。方法选择2017~2018年某院2型糖尿病患者1412例为研究对象,收集患者临床资料,分析2型糖尿病并发症及相关危险因素。结果2型糖尿病并发症总发生率为74.74%,5年以上糖尿病史的并发症发生率为78.52%,梧州地区的2型糖尿病性眼病、肾病的发生率最高;广东地区2型糖尿病性神经病、冠心病的发生率最高;非两广地区的2型糖尿病性高血压、脑血管病的发生率最高。其中体质指数、餐后2 h血糖水平是2型糖尿病并发症的独立危险因素。结论某院2型糖尿病并发症总患病率超过全国平均水平,各并发症发生率部分超过全国平均水平。而患者的体质指数、餐后2 h血糖水平、糖尿病病程等因素与并发症的发生密切相关,因此早诊断、早治疗、控制体重、大力开展肥胖患者的餐后血糖测试等相关措施可以减少糖尿病并发症的发生及进展。 Objective To analyze the complications and related risk factors of type 2 diabetes in a hospital in Wuzhou,Guangxi.Methods 1412 Patients with type 2 diabetes in a hospital from 2017 to 2018 were selected as the research objects,clinical data of the patients were collected,and complications of type 2 diabetes and related risk factors were analyzed.Results The total incidence of complications of type 2 diabetes was 74.74%,and the incidence of complications with a history of diabetes over 5 years was 78.52%.Wuzhou has the highest incidence of type 2 diabetic eye disease and nephropathy;Guangdong has the highest incidence of type 2 diabetic neuropathy and coronary heart disease;non-Guangdong and Guangxi regions have the highest incidence of type 2 diabetic hypertension and cerebrovascular disease.Among them,body mass index and blood glucose level 2 h after a meal are independent risk factors for type 2 diabetes complications.Conclusion The total prevalence of type 2 diabetes complications in a hospital exceeded the national average,and the incidence of each complication partially exceeds the national average.The patient's body mass index,blood glucose level 2 hafter a meal,diabetes course and other factors were closely related to the occurrence of complications.Therefore,early diagnosis,early treatment,weight control,and vigorously carrying out postprandial blood glucose testing for obese patients could reduce diabetes.The occurrence and progression of complications.
作者 龙丹凤 徐志伟 王小芳 吴金生 LONG Dan-feng;XU Zhi-wei;WANG Xiao-fang;WU Jin-sheng(Department of Medical Record Statistics,Wuzhou People's Hospital,Wuzhou 543000,Guangxi,China)
出处 《医学信息》 2020年第21期128-130,共3页 Journal of Medical Information
关键词 2型糖尿病 糖尿病并发症 流行病学 危险因素 Type 2 diabetes Complications of diabetes Epidemiology Risk factors
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