老年糖尿病111例临床分析

CLINICAL ANALYSIS OF 111 CASES OF SENILE DIABETES

目的：探讨老年糖尿病的特点。方法：统计分析本院内分泌科自１９９３年１月至１９９６年１２月收治的６０岁以上老年糖尿病病人的病历资料。结果：①女性病人数７７例，占６９．４％，男性病人３４例，占３０．６％。②年龄在６０～６９岁者８８例，占７９．３％。③职业上，干部３３例，占２９．７％；工人２９例，占２６．１％；家庭妇女２９例，占２６．１％。④病程０～５年最多，５７例，占５１．３％。⑤随机测糖化血红蛋白５８例，其中４１例≥１０％，占７２．２％。⑥并发症１～７种不等，最多２种共３１例，占２７．９％；其次３种２９例，占２６．１％；再次４种２４例，占２１．６％。结论：老年糖尿病以女性患病率高，年龄大多在６０～６９岁之间；干部、工人、家庭妇女易发病；血糖控制不理想。

Obiective:To investigate clinical characteristics of senile diabetes.Methods:We analysed clinical data of 111 hospitalized senile diabetic patients aged over 60 from Jan.1993 to Dec.1996.Results:(1)The 111 patients consisted of 77 females (69.4%) and 34 males(30.6%),ranging in age from 60 to 89 years(60 69years in 88 cases).(2)The patients originating from cadres,workers and housewives accounted for 29.7%,26.1%and 26.1%respectively.(3)The coures of the disease was within 5 years in 57 cases(51.3%).(4)Saccharified haemoglobin was equal to or more than 10% in 41 of the 58 measured patients (72.2%).(5)The patients were complicated by 2 diseases in 31 cases (27.9%),by 3 diseases in 29 cases (26.1%)and by 4 diseases in 24 cases(21.6%) and by 4 diseases in 24 cases(21.6%).Condusions:Most of patients with senils diabetes originate from cadres,workers and housewives,with an age of 60 to 69 years.More complications occur with blood glucose being out of control.The morbidity rate is higher in females than in males.