480例2型糖尿病慢性并发症的调查分析  

A survey and analysis of 480 cases of type 2 diabetic chronic complications

作　　者：樊翠霞 杨惠霞[2] 

机构地区：[1]石家庄栾城县医院,石家庄051430 [2]石家庄市第三医院信息科,石家庄050011

出　　处：《中国卫生检验杂志》2007年第6期1100-1101,共2页Chinese Journal of Health Laboratory Technology

摘　　要：目的:了解2型糖尿病患者慢性并发症与年龄、病程、血糖的关系。方法:对患者按不同的年龄、病程、血糖分为3组分别进行统计分析。结果:2型糖尿病慢性并发症随者病程延长、年龄增长及血糖升高而呈上升趋势,此趋势在年龄40岁,病程5～10年,血糖≥10 mmol/L以上尤为明显。以高血压(HT)、糖尿病肾病(DN)、糖尿病视网膜病变(DR)发病率最高,分别为40.6%、30.83%、31.04%。在不同年龄组以高血压发病最早,≤30岁组为25%,冠心病(CHD)和脑血管病(CVD)上升速度最快,≥60岁组比≤39岁组分别增长5.5倍和4.5倍。在不同的病程组仍是高血压发病最高,≤5年时高达29%,以DN和下肢血管病变(PVD)上升最快,≥10年组比≤5年组增长分别为3.29倍和3.75倍。在不同的血糖组仍然是高血压发病率最高,≤10 mmol/L组已达到24%,以DN、DR上升最快,≥15.1 mmol/L比≤10 mmol/L组增长分别为3.13倍、3.5倍。结论:随着年龄的增加、病程增长、血糖的升高糖尿病慢性并发症的发生率也随之增长。Objective：To investigate the relationship between type 2 diabetic chronic complications and age, course of disease, blood glucose. Methods： Statistic analysis was carried out in three groups divided by age, course of disease, blood glucose. Results：Type 2 diabetic chronic complications showed rising trend with course of disease extending, age increasing and blood glucose rising. It was more obvious in those patients who are 40 years old and whose course of disease is 5 - 10 years and blood glucose concentration is above 10 mmoL/L The incidence of HT, DN, DR was highest in type 2 diabetic chronic complications, which were 40. 6%, 30. 83%, 31.04% respectively. In different age group, HT appearance was earliest and 25% is below 30 years old. The speeds of CHD and CVD were highest, which were 5.5 times and 4. 5 times in group of age over 60 and below 39, respectively. In different course of disease group, HT incidence was highest, which arrived at 29% in blow 5 years group. DN and PVD had the rapidest rising speed, the group of above 10 years and below 5 years increased 3.29 times and 3. 75 times, respectively. In group of different blood glucose concentration, the incidence of HT was still highest, 24% in below 10 mmoL/L, DN, DR had the rapidest rising speed, the group of above 15. 1 mmoL/L and below 10 mmoL/L increased 3.13 times and 3. 5 times, respectively. Conclution：Diabetic chronic complications incidence shows rising trend with course of disease extending, age increasing and blood glucose rising.

关 键 词：糖尿病 慢性并发症 

分 类 号：R587.1[医药卫生—内分泌]