老年住院2型糖尿病患者合并肌少症的情况及其影响因素分析  

Analysis of Sarcopenia and Its Influencing Factors in Elderly Hospitalized Patients with Type 2 Diabetes Mellitus

作　　者：陈俏 邓斌 陈婷[1] CHEN Qiao;DENG Bin;CHEN Ting(Department of Endocrinology,Nanping First Hospital Affiliated to Fujian Medical University,Nanping,Fujian Province,353000 China)

机构地区：[1]福建医科大学附属南平市第一医院内分泌科,福建南平353000

出　　处：《糖尿病新世界》2022年第19期43-46,共4页Diabetes New World Magazine

摘　　要：目的探讨老年住院2型糖尿病患者合并肌少症的情况及其影响因素。方法选取福建医科大学附属南平市第一医院2021年5月—2022年5月收治的老年住院2型糖尿病患者160例,按照老年住院2型糖尿病患者是否合并肌少症分为对照组和观察组。对照组(64例)老年住院2型糖尿病患者未合并肌少症,观察组(96例)老年住院2型糖尿病患者合并肌少症,对比两组老年住院2型糖尿病患者各项指标。结果两组患者BMI、糖化血红蛋白、小腿周径、糖尿病病程、空腹血糖、空腹C肽比较,差异有统计学意义(P<0.05),两组男女比例、年龄对比,差异无统计学意义(P>0.05)。老年住院2型糖尿病患者合并肌少症的独立危险因素为BMI(OR=4.710)、糖化血红蛋白(OR=6.135)、小腿周径(OR=5.028)、糖尿病病程(OR=3.840)、空腹血糖(OR=3.927)、空腹C肽(OR=2.218)(P<0.05)。结论BMI、糖化血红蛋白、小腿周径、糖尿病病程、空腹血糖、空腹C肽是老年住院2型糖尿病患者合并肌少症的独立危险因素。Objective To investigate the situation and influencing factors of sarcopenia in elderly hospitalized patients with type 2 diabetes mellitus.Methods A total of 160 elderly inpatients with type 2 diabetes who were admitted to Nanping First Hospital Affiliated to Fujian Medical University from May 2021 to May 2022 were selected.According to whether the elderly inpatients with type 2 diabetes mellitus were complicated with sarcopenia,they were divided into the control group and the observation group.The control group(64 cases)elderly hospitalized patients with type 2 diabetes without sarcopenia,and the observation group(96 cases)elderly hospitalized type 2 diabetes patients complicated with sarcopenia.The indicators of the two groups of elderly hospitalized patients with type 2 diabetes were compared.Results There were statistically significant differences in BMI,glycosylated hemoglobin,calf circumference,duration of diabetes,fasting blood glucose,and fasting C-peptide between the two groups(P<0.05).The ratio of males and females,age were compared between the two groups,and the difference was not statistically significant(P>0.05).The independent risk factors of sarcopenia in hospitalized patients with type 2 diabetes per year were BMI(OR=4.710),glycosylated hemoglobin(OR=6.135),calf circumference(OR=5.028),duration of diabetes(OR=3.840),fasting blood glucose(OR=3.927),fasting C-peptide(OR=2.218)(P<0.05).Conclusion BMI,glycosylated hemoglobin,calf circumference,duration of diabetes,fasting blood glucose,and fasting C-peptide are independent risk factors for sarcopenia in elderly hospitalized patients with type 2 diabetes.

关 键 词：2型糖尿病 肌少症 影响因素 

分 类 号：R587.1[医药卫生—内分泌]