拉萨地区藏族新诊断住院2型糖尿病患者临床特点分析  

Clinical features of hospitalized Tibetan newly diagnosed type 2 diabetic patients in Lhasa

作　　者：岳珺 罗樱樱[2] 李艳 耿严严 宁蓬 孟树优[1] 巴桑普赤[1] 杨丽辉[1] YUE jun;LUO Yingying;LI Yan(Department of Endocrinology,Tibet Autonomous Region People's Hospital, Lhasa 850000,China)

机构地区：[1]西藏自治区人民医院内分泌科,拉萨850000 [2]北京大学人民医院内分泌科

出　　处：《中国糖尿病杂志》2019年第1期22-25,共4页Chinese Journal of Diabetes

基　　金：西藏自治区自然科学基金(XZ2017ZRG-89)

摘　　要：目的了解拉萨地区藏族新诊断住院T2DM患者的临床特征。方法选取2016年1月至2017年7月于西藏自治区人民医院内分泌科住院的藏族新诊断T2DM患者158例,根据HbA1c水平分为HbA1c≤10%组和HbA1c>10%组,根据发病年龄分为≤40岁组和>40岁组,比较各组临床资料。结果就诊时HbA1c为(13. 06±2. 71)%,≥80%的患者HbA1c>10%。急性并发症、慢性并发症、大血管病变、微血管病变、糖尿病足患病率分别为24. 7%、59. 5%、39. 9%、31. 0%及0. 6%。HbA1c>10%组患者数量、随机血糖、急性并发症患病率较HbA1c≤10%组升高。≤40岁组较>40岁组出现糖尿病症状时间短,合并慢性并发症(包括大血管病变、微血管病变)的比例低。结论拉萨地区藏族住院T2DM患者血糖高,并发症多,提示本地区藏族患者对糖尿病的认识较差,诊断晚。应加强藏族人群糖尿病知识的普及,提升糖尿病筛查的意识。Objective To investigate the clinical features of hospitalized Tibetan newly diagnosed type2 diabetes mellitus(T2 DM)in Lhasa.Methods From January 2016 to July 2017,the data from 158 hospitalized Tibetan newly diagnosed T2 DM patients in the department of endocrinology of the Tibet autonomous region people’s hospital were collected and analyzed. The participants were divided into different groups according to their glucose levels or age at the diagnosis to further compare their characteristics.Results Among 158 patients,the mean Hb A1 c at diagnosis was(13. 06±2. 71)%. More than 80% of the patients had a Hb A1 c level higher than10%. The prevalence of acute complications,chronic complications,macrovascular complications,microvascular complications and diabetic foot were 24. 7%,59. 5%,39. 3%,31. 0% and 0. 6%,respectively. Compared with patients with Hb A1 c≤10%,the patients with Hb A1 c>10% had higher hospitalization rate,random blood glucose level and incidence of acute complications. When divided the patients into early-onset(age at diagnosis ≤40 y)and late-onset(age at diagnosis>40 y)groups,we can see that patients in early-onset group had shorter duration with hyperglycemia symptoms,higher proportion of current smokers and lower prevalence of chronic complications,macrovascular complications and microvascular complications.Conclusion Tibetan T2 DM patients in Lhasa are diagnosed with a very high glucose level and high prevalence of complications. These results suggest that Tibetan population has a poor understanding of diabetes,and diabetes cannot be diagnosed in time.

关 键 词：藏族 糖尿病 2型 新诊断 

分 类 号：R587.1[医药卫生—内分泌]