摘要
目的了解北京地区2型糖尿病慢性并发症和合并症的情况。方法由中华医学会北京分会老年专业委员会组织调查本市36家一、二、三级医院住院和门诊已确诊的2型糖尿病患者2077例,男1061例(51%),女1016例(49%),平均年龄(62±12)岁,平均糖尿病病程(8.3±6.6)年,采用统一的方法回顾病史及访谈填写调查表格,统一的体检及测量方法。取空腹8h以上静脉血测定血清空腹血糖、总胆固醇、低密度脂蛋-胆固醇、甘油三酯、高密度脂蛋白-胆固醇、丙氨酸转氨酶、天冬氨酸转氨酶、尿素氮、血肌酐等生化指标,取指尖血测定餐后2h血糖,糖化血红蛋白A1c。行尿常规检查,测定尿微量白蛋白排泄率,行腹部、下肢动脉B超检查,眼科医师按统一标准判断眼底病变。结果2型糖尿病各并发症或合并症发生率分别为高血压60.8%,冠心病26.5%,脑梗死14.5%,脑出血1.7%。下肢血管病变16.4%。糖尿病神经病变21.8%,糖尿病足14.5%,糖尿病肾病23.7%(其中微量白蛋白尿11.3%,临床蛋白尿10%,血清肌酐升高5.2%)。糖尿病眼底病变19.3%,血脂异常52.2%。合并疾病:脂肪肝39.1%,胆石症8.9%,足背动脉波动消失或减弱右侧16.7%、左侧18.2%,心电图异常30.6%,胸片异常9%,眼底异常28.4%。结论2077例2型糖尿病的相关调查提示一些慢性并发症患病率已达到相当高的水平。
Objective To investigate the chronic complications and coexisting conditions in type 2 diabetes mellitus （DM） patients in Beijing. nethords 2077 type 2 diabetic patients,average age 62＋12 years, 1061 male and 1016 female, were interviewed history, taking physical examination,laboratory exam （FPG, 2h-PG , TC, LDL-C, TG, HDL-C,ALT,AST,BUN,Cr,HbAlc,UAER,Urine rutine）,eye fundus and ultrasonic exam for the arteries of lower extremities and abdomen. Results The rate of chronic complications and coexisting conditions in type 2 diabetic patients was hypertension 60.8% ,coronals, heart disease 26.5% ,cerebral infarction 14.5% ,cerebral hemorrhage 1.7% （total 16.2%）, lower extremities artery lesion 16.4%,diabetic neuropathy 21.8% ,diabetic foot 14.5%, diabetic nephropathy 23.7% （microprotienuria 11.3% ,protienuria 10% ,serum creatinin elevation 5.2%）, diabetic retinopathy 19.3% ,dyslipidemia 52.2%, fatty liver 39.1% ,choledocholithiasis 8.9% ,dorsalis pedal pulsesless or weak at right side 16.7% ,at left side 18.2% ,ECG abnormality 30.6% ,chest X-ray abnormality 9% ,eye fundus abnormality 28.4% respectively. Conclusions Investigation of 2077 patients with type 2 DM has shown that the prevalence of some complications is quite high.
出处
《北京医学》
CAS
2009年第11期648-651,共4页
Beijing Medical Journal
基金
辉瑞医药(中国)有限公司出资赞助
关键词
2型糖尿病
慢性并发症
Type 2 diabetes mellitus Chronic complications
