青海省囊谦县县医院2型糖尿病临床特征分析

Analysis of clinical risk factors for diabetes in Nangqian Hospital in Qinghai

目的:分析青海少数民族贫困地区2型糖尿病临床特征及治疗情况。方法:针对青海省囊谦县县医院登记的42例2型糖尿病患者,按糖尿病危险因素(性别、年龄、高血压、血脂异常、超重或肥胖)个数分成≥3个组(组1)和<3个组(组2),比较两组临床特点,总结用药情况。结果:患者平均年龄54.6±12.0岁,空腹和餐后血糖分别为9.1±3.2 mmol/L和10.9±4.7mmol/L。其中81.0%应用降糖药,23.5%接受胰岛素治疗。糖尿病家族史不足20%,近90%的患者超重或肥胖,组1所有患者均超重或肥胖,组2为70.6%。组1合并高血压患者多。最常用的降压药是0号和中药。结论:不良生活方式可能是该地区糖尿病发病的主要原因,应重视医生对患者的宣教工作。

Objective：To investigate the clinical characteristics in patients with type 2 diabetes mellitus in Nangqian Hospital in Qinghai.Methods：Forty-two patients who registered from Nangqian Hospital in Qinghai were divided into two groups according to the number of risk factors,≥3 risk factor group （group 1）and ＜3 group（group 2）.The clinical features and medications of the patients were analyzed.Results：The mean age was 54.6±12.0 years.Current fasting and postprandial glucose levels were 9.1±3.2 and 10.9±4.7 mmol/L individually.Only 81.0％ patients used antidiabetic medicine,23.5％ treated with insulin.Positive family history of diabetes was less than 20％.Nearly 90％ of patients were overweight or obese.All patients were overweight or obese in group 1 and were 70.6％ in group 2.There were more hypertensive patients in group l.The most commonly used antihypertensive drugs was zero tablet and traditional Chinese medicine.Conclusion：Unhealthy lifestyle may be the main reason for the onset of diabetes in the region.More attention should be paid to the education of patients from the doctors.