不同性别2型糖尿病患者评价指标和慢性血管并发症的分析

Evaluation Indexes and Chronic Vascular Complications in Patients with Type 2 Diabetes Mellitus with Different Sex

目的:分析不同性别2型糖尿病(T2DM)患者综合管理评价和慢性血管并发症的发生情况。方法:选取2017年7-12月门诊T2DM患者314例,按性别分组进行比较。结果:314例的T2DM患者中男性130例,女性184例;男性组的病程和饮食控制率低于女性组,而吸烟率、饮酒率高于女性组(P <0. 05);男性组的血尿酸(SUA)高于女性组,而总胆固醇(TC)、高密度脂蛋白(HDL-C)低于女性组(P <0. 05);男性组的颈动脉内膜增厚数、颈动脉斑块数、下肢动脉病变数(LEAD)均高于女性组(P <0. 05)。结论:男性的生活方式和治疗依从性相对要差,而慢性血管并发症的发生率更高。

[Objective] Analysis of the evaluation index and the occurrence of chronic vascular complications of type 2 diabetes mellitus（ T2 DM） w ith different sex. [Method] 314 cases of T2 DM patients w ere selected from July to December 2017 and compared by gender. [Result]Of the 314 T2 DM patients,130 w ere males and 184 w ere females. The disease course and diet control rate of the male group w as low er than that of the female group,w hile the smoking rate and drinking rate w ere higher than that of the female group（ P〈0. 05）. The blood uric acid（ SUA） in the male group w as higher than that in the female group,w hile TC and HDL-C w ere low er than the female group（ P〈0. 05）. The number of carotid intima thickening,carotid plaques and low er extremity artery lesions（ LEAD） w ere all higher in the male group than in the female group（ P〈0. 05）. [Conclusion] M en＇s lifestyle and treatment compliance are relatively poor,leading to a higher incidence of chronic vascular complications.