老年糖尿病死亡病例分析  

Analysis of the causes of death for aged hospitalized patients with diabetes

作　　者：聂义珍[1] 张一娜[1] 武小微[1] 

机构地区：[1]哈尔滨医科大学附属第二医院第二住院部老年病科,黑龙江省哈尔滨市150086

出　　处：《实用老年医学》2008年第4期272-274,共3页Practical Geriatrics

摘　　要：目的了解老年糖尿病(DM)住院患者的死亡原因及其死亡危险因素。方法以预设表格方式对哈尔滨医科大学附属第二医院老年病房1993年1月1日至2006年12月31日期间住院的老年DM死亡病例进行回顾性调查。结果①老年DM住院患者死亡86例,占全部死亡病例的20.98%,其中以心血管疾病(33.72%)、脑血管疾病(17.44%)、呼吸系统疾病(13.95%)为前3位最主要死因。②在DM与非DM组的比较中,心血管疾病、脑血管疾病、呼吸系统疾病和泌尿系统疾病较非DM组显著增多,肿瘤患者在非DM组明显增多。③DM病程对高血压、心肌梗死、糖尿病肾病(DN)、脑梗死有显著影响。结论DM是增加老年心血管疾病、脑血管疾病、呼吸系统疾病、泌尿系统疾病的发生率和死亡率的一个重要因素。DM的病程增加也大大增加了高血压、心肌梗死、DN、脑梗死的发生率,从而显著增加了老年人的死亡风险。Objective To find out the causes of death and the risk factors for the elderly hospitalized patients with diabetes mellitus（DM）. Methods The elderly cases who died during January 1 1993 to December 31 2006 were reviewed using the pre-designed form. Results （1） Eighty-six patients died,accounting for 20.98% of all elderly cases of hospitalized death. The main causes for the death of the DM patients were cardiovascular diseases （33.72%）, cerebral vascular diseases （ 17.44% ） and pulmonary infections （ 13.95% ）. （2） Compared with non-DM group,the morbidity of cardiovascular diseases, cerebral vascular diseases,pulmonary infections and kidney diseases was higher in DM group, but the morbidity of tumors was lower. （3） The duration of DM had significant effects on the development of hypertension, myocardial infarction,diabetic nephropathy and cerebral infarction. Conclusions The prevalence rate and the mortality rate of cardiovascular diseases, cerebral vascular diseases, pulmonary infections and kidney diseases were increased in patients with DM resulting in the increase of death risk.

关 键 词：糖尿病 死亡原因 老年人 

分 类 号：R587.1[医药卫生—内分泌]