2型糖尿病并發(fā)癥流行病學(xué)調(diào)查及危險(xiǎn)因素

龍丹鳳 徐志偉 王小芳

摘要：目的 ?分析廣西梧州市某院2型糖尿病并發(fā)癥及相關(guān)危險(xiǎn)因素。方法 ?選擇2017～2018年某院2型糖尿病患者1412例為研究對(duì)象，收集患者臨床資料，分析2型糖尿病并發(fā)癥及相關(guān)危險(xiǎn)因素。結(jié)果 ?2型糖尿病并發(fā)癥總發(fā)生率為74.74%，5年以上糖尿病史的并發(fā)癥發(fā)生率為78.52%，梧州地區(qū)的2型糖尿病性眼病、腎病的發(fā)生率最高;廣東地區(qū)2型糖尿病性神經(jīng)病、冠心病的發(fā)生率最高;非兩廣地區(qū)的2型糖尿病性高血壓、腦血管病的發(fā)生率最高。其中體質(zhì)指數(shù)、餐后2 h血糖水平是2型糖尿病并發(fā)癥的獨(dú)立危險(xiǎn)因素。結(jié)論 ?某院2型糖尿病并發(fā)癥總患病率超過全國(guó)平均水平，各并發(fā)癥發(fā)生率部分超過全國(guó)平均水平。而患者的體質(zhì)指數(shù)、餐后2 h血糖水平、糖尿病病程等因素與并發(fā)癥的發(fā)生密切相關(guān)，因此早診斷、早治療、控制體重、大力開展肥胖患者的餐后血糖測(cè)試等相關(guān)措施可以減少糖尿病并發(fā)癥的發(fā)生及進(jìn)展。

關(guān)鍵詞：2型糖尿病;糖尿病并發(fā)癥;流行病學(xué);危險(xiǎn)因素

中圖分類號(hào)：R587.1 ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?文獻(xiàn)標(biāo)識(shí)碼：A ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?DOI：10.3969/j.issn.1006-1959.2020.21.039

文章編號(hào)：1006-1959（2020）21-0128-03

Abstract：Objective ?To analyze the complications and related risk factors of type 2 diabetes in a hospital in Wuzhou， Guangxi.Methods ?1412 Patients with type 2 diabetes in a hospital from 2017 to 2018 were selected as the research objects， clinical data of the patients were collected， and complications of type 2 diabetes and related risk factors were analyzed.Results ?The total incidence of complications of type 2 diabetes was 74.74%， and the incidence of complications with a history of diabetes over 5 years was 78.52%.Wuzhou has the highest incidence of type 2 diabetic eye disease and nephropathy; Guangdong has the highest incidence of type 2 diabetic neuropathy and coronary heart disease; non-Guangdong and Guangxi regions have the highest incidence of type 2 diabetic hypertension and cerebrovascular disease. Among them， body mass index and blood glucose level 2 h after a meal are independent risk factors for type 2 diabetes complications.Conclusion ?The total prevalence of type 2 diabetes complications in a hospital exceeded the national average， and the incidence of each complication partially exceeds the national average. The patient's body mass index， blood glucose level 2 hafter a meal， diabetes course and other factors were closely related to the occurrence of complications. Therefore， early diagnosis， early treatment， weight control， and vigorously carrying out postprandial blood glucose testing for obese patients could reduce diabetes. The occurrence and progression of complications.

Key words：Type 2 diabetes;Complications of diabetes;Epidemiology;Risk factors

隨著城市化的發(fā)展和人口老齡化，目前我國(guó)糖尿病患者已高達(dá)9240萬(wàn)，還有1.482億成人處于糖調(diào)節(jié)受損期。據(jù)此推算，梧州地區(qū)總?cè)丝诩s305萬(wàn)，約有糖尿病患者20萬(wàn)。2013版《中國(guó)2型糖尿病防治指南》中指出，2型糖尿病在我國(guó)20歲以上人群中的發(fā)病率高達(dá)9.7%[1]。若患者的血糖水平長(zhǎng)期處于較高的水平，可導(dǎo)致糖尿病足病、糖尿病周圍神經(jīng)病變、糖尿病腎病、糖尿病性視網(wǎng)膜病變等多種并發(fā)癥[2]。為了更好地了解本地區(qū)住院2型糖尿病并發(fā)癥流行病學(xué)現(xiàn)狀，本研究對(duì)梧州市人民醫(yī)院2017～2018年2型糖尿病住院患者進(jìn)行了調(diào)查，以期為制定符合本地情況的糖尿病治療指南提供流行病學(xué)依據(jù)。