2型糖尿病患者慢性并发症相关危险因素分析及防治研究

摘要

目的：分析2型糖尿病患者慢性并发症相关危险因素，提出防治意见。方法：以2014年1月-2015年2月笔者所在科室住院部收治的67例2型糖尿病患者作为研究对象，采用前瞻性分析方法，收集病历资料，将有慢性并发症患者入选病例组，无慢性并发症患者入选对照组，分析2型糖尿病患者慢性并发症相关危险因素。结果：两组血压、HDL、hs-CRP正常率比较差异均有统计学意义(P<0.05)；病例组来自农村率高于对照组、获得专业干预率低于对照组、糖尿病病程长于对照组，差异均有统计学意义(P<0.05)；多因素分析农村、获得专业干预、糖尿病病程、高血压、HDL、hs-CRP成为独立影响因素(P<0.05)。结论：应重视专业干预，针对条件不便者提供便捷服务，关注长病程患者，积极防治高血压、低HDL血症，预防炎症性疾病。%Objective:To analyze the risk factors of chronic complications in type 2 diabetes patients,and to put forward the suggestions for prevention and treatment.Method:From January 2014 to February 2015,67 cases of type 2 diabetic patients in our hospital were selected as the research objects,the forward-looking analysis method was used,the medical records were collected.Patients with chronic complications were included in the case group,patients without chronic complications were enrolled in the control group.The risk factors related to chronic complications in patients with type 2 diabetes were analyzed. Result:The normal rates of blood pressure,HDL and hs-CRP of the two groups had statistically significant differences(P<0.05).In the case group,the proportion of patients from country was higher than that of the control group,the proportion of achieving professional intervention was lower than that of the control group, the duration of diabetes was longer than that of the control group,the differences were statistically significant(P<0.05).Multiple factors analysis showed that rural areas,obtain special intervention,duration of diabetes,hypertension,high density lipoprotein (HDL),hs-CRP became independent influence factors(P<0.05). Conclusion:We shall pay attention to professional intervention,provide convenient service for the patients with inconvenience,pay attention to the long course patients,control high blood pressure and the low HDL disease,prevent inflammatory disease.