糖尿病伴贫血的相关因素分析

Associated factors of diabetic patients with anemia

目的:探讨糖尿病伴贫血患者的相关危险因素,为临床早期预防及治疗提供思路。方法:将439例(男226例,女213例)糖尿病人分成无贫血组和贫血组,分别比较血压、血脂、肾功能、血糖等指标。用Logistic回归分析贫血的独立危险因素。结果:男性患者、血尿素、血肌酐升高为糖尿病贫血的独立危险因素。在中度贫血时血尿素、血肌酐均比轻度贫血升高,差异有统计学意义P<0.01。结论:糖尿病肾病是引起贫血的最常见原因,临床上可以通过监测肾功能来早期发现,同时应给予积极治疗。

Objective： To investigate the associated factors of diabetic patients with anemia and provide mentality for the clinical prevention and treatment early. Methods： A total of 439 patients （226 men and 231 women） with diabetes were divided into without anemia group and anemia group, compared the blood pressure,blood lipid,kidney function,blood glucose and so on separately.Then the independent dangerous factors of anemia was studied with the Logistic regression analysis. Results： The higher of urea and Cr were independent predictors of diabetes with anemia in the male patients.The urea and Cr in the patients with moderate anemia were higher compared to mild anemia （P〈0.01）. Conclusion：Diabetic nephropathy is the most common reason of diabetic patients with anemia. We may monitor the kidney function to discover anemia early.