青壮年糖尿病临床分析

The clinical analysis of diabetes in young adults

目的:分析青壮年糖尿病患者的临床情况。方法:2010年1月-2014年1月收治青壮年糖尿病患者184例,对其临床资料予以分析。结果:184例患者中,初诊患者140例(76.1%);T2DM 156例(84.8%);T2DM患者中存在肥胖问题48例(26.1%),其中36例为男性;T2DM患者中有31.5%存在糖尿病家族史;T1DM全部采用胰岛素进行治疗。T2DM中"胰岛素+口服降糖药"102例,口服降糖药54例。结论:对于青壮年糖尿病患者而言,绝大多数属于初诊患者,同时很多不存在典型的糖尿病症状,因此,应重视并做好糖尿病一般知识宣教工作,对高危人群展开重点筛查,从而提高该类患者的实际检出率,这对于及早确诊和有效治疗具有相当积极的意义。

Objective:To analyze the clinical status of young patients with diabetes mellitus.Methods:184 young adults with diabetes were selected from January 2010 to January 2014.We analyzed their clinical data.Results:Among the 184 cases,140 cases were newly diagnosed(76.1%);156 cases were T2DM(84.8%);48 cases of T2 DM were combined with obesity(26.1%),including 36 cases of male;31.5% cases with T2 DM had a family history of diabetes;patients with T1 DM were all use insulin treatment.102 cases of T2 DM were taken 'insulin plus oral hypoglycemic agents',54 cases of oral hypoglycemic drugs.Conclusion:For the young patients with diabetes,majority of them were newly diagnosed,and many of them don't have typical symptoms of diabetes.Therefore,we should pay attention to the diabetes knowledge education and do a good job,launch a focus on screening in high-risk groups,so as to improve the patient's actual detection rate,which has a positive significance for early diagnosis and effective in terms of treatment.