1072例Ⅱ型糖尿病治疗方式的分析

An Analysis of Therapeutic Approaches in 1 072 Cases of Type II Diabetes Mellitus

统计分析1072例住院Ⅱ型糖尿病患者的治疗方式。结果显示,病程5年以内者单纯饮食治疗占26.98％,口服降糖药治疗占62.70％,胰岛素治疗占10.32％。病程长于14年者,单纯饮食治疗占9.24％,口服降糖药治疗占55.98％,胰岛素治疗占34.378％。病程5年以内的治疗方式与国外有关资料基本相似,病程长于14年者胰岛素治疗的比例明显低于国外。建议对经过严格控制饮食及口服降糖药治疗后,病情仍然控制不良的Ⅱ型DM患者应及时进行胰岛素治疗,以便有效地控制糖尿病。

The therapeutic approaches of 1 072 cases of type II diabetes mellitus(NIDDM)were analyzed. The results showed that among the patients with duration of diabetes for less than 5 years, diet control alone was used by 26.98% of patients, oral hypoglycernic agents by 62.70% and insulin by 10.32%. Among the patients with duration of diabetes for more than 14 years,diet control was used by 9.24% of patients,oral hypoglycernic agents by 55.98% arid insulin by 34.78% .The therapeutic approaches in patients suffered less than 5 years were similar to other countries, while the rate of insulin therapy in patients suffered more than 14 years was remarkly less than that of developed countries. Therefore, the uncompletely controlled NIDDM patients under diet and oral hypoglycernic agent treatment should be treated by insulin as early as possible in order to get a better outcome.