荆门地区住院2型糖尿病患者的主要死因分析

Death causes of the in-patients with type 2 diabetes in Jingmen city

目的评估荆门地区近10年来住院死亡的2型糖尿病患者的主要死因。方法选择荆门地区1998～2008年住院死亡的2型糖尿病患者90例(男49例,女41例),提取性别、年龄、病程、并发症及主要死因等的详细资料,分析主要死因的构成比及其与年龄和病程等危险因素的相关性。结果荆门地区糖尿病的主要死亡原因依次为:心脑血管疾病(46.7%),恶性肿瘤(22.2%),呼吸系统疾病(13.3%),消化系统疾病(7.8%),糖尿病肾病(6.7%)。病程为0～5年的患者中急性心肌梗塞、恶性肿瘤和肺部感染等急危重并发症的构成比较高,死亡率高。结论心脑血管疾病是2型糖尿病患者的主要死因,尤其以缺血性心脏病为主,提示应积极预防心血管疾病的危险因素,加强对糖尿病的认识,以降低糖尿病患者的死亡率。

[Objective] To assess the underlying cause of death for hospitalized patients with type 2 diabetes in Jingmen City in recent 10 years.[Method] The 90 died patients in hospital（male 49,female 41） were choosed in the area of Jingmen from 1998 to 2008,the intimate data such as sex,age,the course of disease,complications and the main cause of death were extracted,the correlation between the component ratio of major cause death and the risk factors such as age,the course of disease were analyzed.[Result] The major cause of death of diabetes were cardiovascular and cerebrovascular diseases（46.7%）,cancer（22.2%）,respiratory diseases（13.3%）,digestive system diseases（7.8%）,diabetic nephropathy（6.7%） in Jingmen.The constituent ratio and mortality rate of severe complications such as acute myocardial infarction,cancer and lung infection was higher in the patients which had the disease course from 0～5 years.[Conclusion] The cardiovascular and cerebrovascular diseases were the main death cause for the patients with type 2 diabetes,especially in ischemic heart disease,which means that we should actively prevent the risk factors of cardiovascular diseases and enhance the awareness of diabetes to reduce the mortality in diabetic patients.