老年2型糖尿病患者并发症种类和特点分析

Analysis of types and characteristics of complications in senile patients with type 2 diabetes mellitus

目的总结分析本院老年2型糖尿病患者并发症的分布特点。方法 206例老年2型糖尿病并发症患者,总结患者的并发症种类和特点。结果 206例患者中,以并发高血压和周围神经病变最多,分别为112例(54.37%)和70例(33.98%);此外患者并发脑梗死40例(19.42%);糖尿病肾病38例(18.45%);脑出血12例(5.83%);糖尿病性视网膜病变10例(4.85%);糖尿病足4例(1.94%)。206例患者中合并有1种并发疾病30例(14.56%);合并有2种并发疾病105例(50.97%);≥3种并发疾病71例(34.47%)。结论老年2型糖尿病并发症多以高血压、周围神经病变以及糖尿病肾病等为主,同时多数患者合并有≥2种并发症,因此在治疗老年2型糖尿病患者时应综合考虑其并发症,同时积极预防其并发症的出现,最终提高老年人生存质量。

Objective To summarize and analyze the distribution characteristics of complications in senile patients with type 2 diabetes mellitus in our hospital. Methods There were 206 senile patients with complications of type 2 diabetes mellitus, and their types and characteristics of complications were summarized. Results Of 206 patients, hypertension and peripheral nenropathy were the most common, respectively as 112 cases （54.37%） and 70 cases （33.98%）. In addition, there were 40 cases （19.42%） with cerebral infarction, 38 cases （18.45%） with diabetic nephropathy, 12 cases （5.83%） with cerebral hemorrhage, 10 eases （4.85%） with diabetic retinopathy, and 4 cases （1.94%） with diabetic foot. In 206 cases, there were 30 eases with 1 kind of concurrent disease （14.56%）, 105 cases with 2 kinds of concurrent diseases （50.97%）, and 71 cases with 3 or more kinds of concurrent diseases （34.47%）. Conclusion Hypertension, peripheral neuropathy and diabetic nephropathy are the main complications in senile patients with type 2 diabetes mellitus, and most patients have more than 2 kinds of complications. Therefore, complications should be considered in the treatment of senile patients with type 2 diabetes mellitus, along with actively preventing the occurrence of complications. So as to improve the quality of life ultimately.