老年2型糖尿病患者血管并发症及相关危险因素分析

目的:分析研究老年2型糖尿病患者血管并发症及相关危险因素。方法:收治老年糖尿病患者146例,回顾性分析临床资料。结果:血管并发症随年龄、病程增长而增加(P<0.05),脑血管病、冠心病、高血压病随年龄增高而增加(P<0.05),肾脏病变、视网膜病变、周围神经病变、脑血管病变、高血压病随病程延长发生率增加(P<0.05)。年龄、病程是血管并发症病变的危险因素,糖化血红蛋白与高血压、冠心病、外周血管病变等相关,甘油三酯、胆固醇分别是脑血管病、外周血管病变和周围神经病变的危险因素。结论:为了预防糖尿病慢性并发症,提高生命质量,必须严格控制危险因素。

Objective：To investigate the blood vessels complication and analysis of correlated dangerous fact in senile type 2 diabetes mellitus patients. Methods ：A retrospective analysis of clinical data was conducted in 146 senile patients with type 2 diabetes mellitus who were admitted in our hospital from July 2009 to July 2011. Results ： Blood vessels complication increased with age and the course of the disease （ P 〈 0.05 ） , cerebrovascular disease, coronary artery diseas and hypertensive disease were increased with age, renal lesions, retinopathy, peripheral neuropathy, cerebrovascular disease and hypertensive disease were increased with the course of the disease （ P 〈 0.05 ）. Correlation analysis revealed that in senile patients with type 2 diabetes mellitus was significantly correlated with age and the course of the disease. Logistic analysis revealed glycosylated hemoglobin were closely associated with hypertension, coronary artery diseases and peripheral vascular disease, glycerine and cholesterol were closely associated with cerebrovascular disease, peripheral vascular disease and neuropathy. Conclusion： Clinicians should fully understand the main factors of diabetes, and pay much attention on high risk patients, give timely detection and early intervention, so as to control the progress of the disease and reduce mortality.