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| 合并糖尿病老年住院患者流行病学调查及评价 |
| Epidemiological Investigation and Evaluation of Senile Diabetes Mellitus Inpatients |
| 投稿时间：2004-11-30 |
| DOI： |
| 中文关键词: 合并糖尿病 老年患者 流行病学调查 血糖浓度 |
| 英文关键词:Diabetes mellitus Senile patients Epidemic disease research Evaluation |
| 基金项目: |
| 苟静玲 王瑾 张大业 |
| [1]解放军总医院门诊药局,北京100853 [2]天津医科大学药学院,北京100853 |
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| 中文摘要: |
| 目的：对合并糖尿病老年住院患者及血糖浓度控制进行流行病学调查及评价，探讨不同因素对血糖控制情况的影响。方法：对2004年合并糖尿病的老年住院患者病历跟踪记载，以血糖浓度作为疗效监测指标，运用Stata生物统计学软件对数据进行分析。结果：合并糖尿病老年患者年龄较大、病程较长。71．5％的患者血糖浓度控制良好，40．9％的患者已合并肝病或肾病，12．9％的患者无心血管疾病。随着病程的延长，血糖水平有逐渐增高趋势，特别是病程30年〈5年的患者血糖浓度控制并不佳，与其他病程（〉30a者除外）的患者的血糖浓度的控制差异有显著性（P〈0．05）。67．2％的老年糖尿病患者采用物理疗法或口服降糖药控制血糖，合并使用胰岛素的患者都是病程较长者。结论：我院合并糖尿病的老年患者血糖浓度控制不理想，为了最大限度地减少心脑血管病变的危害，不仅要纠正餐后高血糖，而且要采取多因素干预，治疗纠正高血压和血脂异常，提高老年患者的生活质量，延长寿命。 |
| 英文摘要: |
| Objective: To study effects of different factors on blood glucose control by investigating the epidemic disease of senile diabetes mellitus and therapy and evaluating its present condition. Method: The study recorded and analyzed the medical record (TMR) of senile patients with diabetes mellitus from Jan. to August, 2004 by making use of the blood glucose level as inspective standard and statistically dealing with the data by means of the Bio-statistics Status software. Result: The ages of senile patients were relatively great, and their courses of disease were long. The blood glucose level of 71. 5% of the patients maintained the good level. 40. 9% of them had liverish or nephropathy. 12. 9% had no cardiac or vascular diseases. With the lengthening of the disease course, their blood glucose levels presented a rising tendency , particularly those who had a history of over 30 years. The control of blood glucose level of the patients with the disease course of fewer than 5 years was not so good but that of the other patients ( except those with a history of over 30 years ) had significant imparity (P<0. 05). 67.2% took advantage of physical therapy or OHA(oral anti-diabetic drug) to control their blood glucose level. Different therapeutic ways did not have noticeable imparity. The patients who used insulin mostly were those with the long course of disease. Conclusion: The therapeutic condition of senile patients is not ideal. In order to greatly reduce the hurt of persons by cardiac or vascular diseases, not only their blood glucose level has to be controlled, but also their abnormal blood pressure and blood fat range have to be remedied so as to improve their quality of life and increase their lifespan. |
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