CAJ | 학술논문

目的对近10年老年糖尿病住院患者的死因及相关危险因素进行分析,为糖尿病的防治提供依据.方法回顾性分析2002年1月至2011年12月,76例老年糖尿病患者的死因及相关因素,并进行比较.结果死亡人数76例,死因:心血管疾病18例、糖尿病急性并发症16例、脑血管疾病15例、恶性肿瘤13例、感染9例、糖尿病肾病5例.相对危险度从大到小依次为:糖化血红蛋白、低密度脂蛋白胆固醇、收缩压、舒张压、病程、甘油三酯.结论老年糖尿病主要死因是心脑血管并发症、急性并发症和恶性肿瘤.长期高血糖、高血压、脂代谢紊乱等因素与老年糖尿病患者的死亡相关.
목적대근10년노년당뇨병주원환자적사인급상관위험인소진행분석,위당뇨병적방치제공의거.방법회고성분석2002년1월지2011년12월,76례노년당뇨병환자적사인급상관인소,병진행비교.결과사망인수76례,사인:심혈관질병18례、당뇨병급성병발증16례、뇌혈관질병15례、악성종류13례、감염9례、당뇨병신병5례.상대위험도종대도소의차위:당화혈홍단백、저밀도지단백담고순、수축압、서장압、병정、감유삼지.결론노년당뇨병주요사인시심뇌혈관병발증、급성병발증화악성종류.장기고혈당、고혈압、지대사문란등인소여노년당뇨병환자적사망상관.
Objecfive To evaluate the death cause and related factors of aged diabetic patients during the past decade and to provide evidence for diabetic prevention and control.Methods The death causes and relative factors for the 76 aged diabetic patients were analyzed retrospectively from January 2001 to December 2012 in our hospital.Results A total of 76 patients who were aged diabetic died during the past decade.The complications for these patients were 18 case of cardio-vascular diseases, 16 cases of acute complications, 15 case of cerebral-vascular diseases, 13 cases of tumor,8 cases of infections, 4 cases diabetic nephropathy. The relative risk associated with death were glycosylated hemoglobin,low density lipoprotein cholesterol,systolic pressure, diastolic blood pressure,time of disease and triglyceride.Conclusion The main death cause were cardio-cerebral-vascular complications, acute complications and tumor.In addition,chronic hyperglycemia, hypertension and lipid metabolism disorder were also demonstrated to be associated with their death.