糖尿病防治指南指导2型糖尿病大血管病变治疗效果分析  

Clinical efficacy of treatment based on the Guide of the Chinese Diabetes Prevention and Control for macrovascular complications in patients with type 2 diabetes

作　　者：江华[1] 荆丹清[1] 尹士男[1] 

机构地区：[1]解放军总医院第一附属医院内分泌科,北京100037

出　　处：《山西医科大学学报》2012年第8期595-597,共3页Journal of Shanxi Medical University

摘　　要：目的评价《中国糖尿病防治指南》推荐的治疗方案在降低住院2型糖尿病人发生大血管并发症及其终点事件危险度上的作用。方法对2009-01～2011-12年间在本科室住院的2型糖尿病患者采用《中国糖尿病防治指南》推荐的治疗方案,每年随机抽取100例共300例患者应用UKPDS Risk Engine v2.0软件计算其入院治疗前后其发生心血管疾病、致死性心血管疾病、卒中和致死性卒中10年危险度的变化。结果依据该指南,近3年来我科2型糖尿病患者入院治疗后其心血管疾病、致死性心血管疾病、卒中和致死性卒中的10年危险度明显降低,且2011年较2009年患者发生心血管事件的危险度明显降低,有统计学差异。结论《中国糖尿病防治指南》推荐的治疗方案有效、有益,能够明显降低2型糖尿病发生大血管并发症及其终点事件的危险度。Objective To explore the effect of the treatment protocol based on the Guide of Chinese Diabetes Prevention and Control on macrovascular complications in patients with type 2 diabetes. Methods A total of 300 patients with type 2 diabetes treated based on the guide of Chinese diabetes prevention and control were randomly collected in department of endocrinology of the First Affiliated Hos- pital of PLA General Hospital from 2009 to 2011. The ten years risks of cardiovascular disease ,fatal cardiovascular disease, stroke and fatal stroke were compared before and after treatment in these patients using the software of UKPDS Risk Engine v2.0. Results The ten years risks of macrovascular complications, fatal cardiovascular disease, stroke and fatal stroke were reduced gradually from 2009 to 2011. And the incidences of macrovascular complications were significantly lower in 2011 than those in 2009. Conclusion The proto- col is effective and beneficial ,which can reduce the risk of macrovascular complications in patients with type 2 diabetes.

关 键 词：2型糖尿病 大血管病变 危险度 

分 类 号：R587.1[医药卫生—内分泌]