全国住院糖尿病患者慢性并发症及其相关危险因素10年回顾性调查分析

Chronic diabetic complications and related macro-vascular diseases of in-patients with diabetes in mainland of China——A national retrospective analysis in recent 10 years

目的 了解我国糖尿病 (DM)患者慢性并发症及相关大血管病变状况及其危险因素 ,为 DM防治提供依据。 方法 回顾性分析 1 991年 1月 1日至 2 0 0 0年 1 2月 31日期间在全国 30个省、市、自治区医院内分泌科住院的 T1 DM及 T2 DM患者 2 4 4 96例的临床及实验室资料。 结果 近 1 0年我国住院 DM患者 DM并发症患病率分别为 :高血压 31 .9% ;脑血管病变 1 2 .2 % ;心血管病变 1 5 .9% ;下肢血管病变 5 .0 % ;眼部疾患 34.3% ;肾脏病变 33.6 % ;神经病变 6 0 .3% ,DM慢性并发症总患病率为 73.2 %。与各种 DM慢性并发症相关的危险因素包括发病年龄、病程、入院时收缩压 ,入院时体重指数 (BMI)、血糖、血脂 ,吸烟状况也与 DM慢性并发症相关。 结论 我国住院 DM患者慢性并发症患病率显著高于非 DM者 ,接近国外资料报告的水平。与各种

Objective To find out the prevalence rate of chronic diabetic complications and related macro vascular diseases and their risk factors, in order to provide evidence for diabetes prevention and control. Methods To analyze retrospectively the clinical and laboratory data on the 24 496 in patients with diabetes during Jan 1, 1991 to Dec 31, 2000 from 30 provinces, municipalities and autonomous regions. Results The prevalence rates of chronic diabetic complications and related macro vascular diseases were: 31.9% for hypertension, 12.2% for cerebrovascular diseases, 15.9% for cardiovascular diseases, 5.0% for lower extremity vascular diseases, 34.3% for eye diseases, 33.6% for nephropathy and 60.3% for neuropathy, and total rate of chronic diabetic complications and macro vascular diseases was 73.2%. The risk factors related to all kinds of chronic diabetic complications and macro vascular diseases were age, illness duration, systolic blood pressure, BMI, blood sugar, blood lipid and smoking. Conclusions The prevalence rates of chronic diabetic complications of in patients with diabetes mellitus were much higher than non diabetics, near to their levels in western countries. The controllable risk factor of chronic diabetic complications was systolic blood pressure.