自发酮症起病的肥胖糖尿病患者的临床特征及分型

Clinical Characteristics and Classification of Obese Diabetic Patients with Unprovoked Ketosis

目的探讨自发酮症起病的肥胖糖尿病患者的临床特征及分型。方法选取我院78例糖尿病患者作为研究对象,将自发酮症起病的糖尿病患者依据其特征分为肥胖组19例;正常体重组41例和低体重组28例。比较肥胖组患者与其他两组患者在胰岛功能方面存在的差异。结果三组患者起病时的血糖状况、体重下降状况以及酮症和酸中毒状况比较无明显差异(P>0.05),但肥胖组患者发生酮症和酸中毒时胰岛素缺乏较轻。结论糖尿病逐渐为我国所重视,其对糖尿病的分型是为了对其病因和发病的机制进行探讨分析,同时为科学的治疗以及预后判断提供了基本根据。

Objective To investigate the clinical chatactevistics ofketosis prone diabetes patients with obesity and type. Methods 78 cases of diabetic patients as the research object, the diabetic patients with ketosis prone on the basis of the features are divided into obesity, group and 19 cases of normal weight group; 41 cases and 28 cases of low body weight. There are differences in the idet function in obese patients and patients in the other two groups. Results The three bn：oups of patients at the onset of the body weight, clecreased blood glucose status had no significant difference and ketosis and acidosis condition （ P〉0.05 ）, but the obese group occurred in patients with ketosis and acidods, insulin deficiency is light. Conclusion Diabetes gradually to our attention, the diabetes mellims type to the mechanism of the etiology and pathogeneds were analyzed, at the same tmae is the scientific treatment and prognosis to provide basic according to.