1533例2型糖尿病患者合并症与并发症的调查分析

Investigation on the complications of type 2 diabetes mellitus in 1533 patients

目的:了解上海地区门诊糖尿病患者的各种慢性合并症与并发症及其相关危险因素。方法:调查我院门诊糖尿病患者1533例,记录慢性合并症、并发症及各种相关危险因素并进行相关的统计分析。结果:上海地区糖尿病患者的各种慢性合并症与并发症的发生率由高到低依次为周围血管病变67.0%,高血压63.2%,血脂紊乱45.1%,家族糖尿病34.8%,高尿酸血症29.0%,视网膜病变28.0%,脂肪肝27.1%,糖尿病肾病21.1%。女性患者高尿酸血症、脂肪肝、家族糖尿病史发生率高于男性,各种慢性合并症与并发症多随年龄与病程的增加而升高。结论:上海地区门诊糖尿病患者各种慢性合并症与并发症的发病率较高,定期监测并联合控制血糖、血压、血脂水平是防治各种慢性合并症与并发症的关键。

Objective：To investigate a variety of chronic complications and associated risk factors in chronic patients with type 2 diabetes mellitus （T2DM） in Shanghai.Methods：1533 out-patients with T2DM were investigated.The chronic complications and associated risk factors were recorded and analyzed.Results：The incidence of varies complications in T2DM patients were peripheral vascular disease （67.0%）, hypertension （63.2%）, dyslipidemia（45.1%）, family history of diabetes （34.8%）, hyperuricemia （29.0%）, retinopathy （28.0%）, fatty liver （27.1%）, diabetic nephropathy （21.1%）.The incidence of hyperuricemia, fatty liver, and family history of diabetes were higher in female patients than in male patients.The incidence of varies complications was correlated with the increase of age and course of disease.Conclusion：The incidence of various chronic complications in out-patients in Shanghai is very high.Regular monitoring and joint control of blood glucose, blood pressure, blood lipid levels are the key measures in the fight against a variety of chronic complications of T2DM.