糖尿病微血管并发症的临床观察.docVIP

糖尿病微血管并发症的临床观察 　　[摘要] 目的 探讨糖尿病微血管并发症的临床特点。 方法 选取2012年1月～2013年1月本院收治的180例糖尿病患者，对微血管并发症的发生率，微血管并发症与BMI、血压、血糖、血胆固醇、三酰甘油之间的关系进行分析。 结果 180例糖尿病患者中，有125例患者出现微血管并发症，发生率为69.44%，其中糖尿病视网膜病变65例，糖尿病肾病79例，同时患有糖尿病视网膜病变及糖尿病肾病患者为19例，经过积极有效治疗，均好转出院；无微血管并发症组与有微血管并发症组在BMI、血压、餐后2 h血糖、三酰甘油方面差异有统计学意义。 结论 糖尿病微血管并发症与肥胖、血糖、高血压、高血脂有密切的关系。 　　[关键词] 糖尿病；微血管并发症；临床观察 　　[中图分类号] R587.1 [文献标识码] A [文章编号] 1674-4721（2013）07（a）-0049-02 　　Observation of microvascular complication of diabetes 　　ZHOU Yong-hong ZHANG Yong-ming WANG Wen-ping DING Xiao-jie SONG Jie SA Xiao-jun 　　Department of Endocrinology， Second Peoples Hospital of Anhui Province， Hefei 230041，China 　　[Abstract] Objective To study the clinical characteristics of microvascular complication of diabetes.Methods 180 diabetes mellitus patients in our hospital from January 2012 to January 2013 were selected， the rate of microvascular complication，and the relationship between microvascular complication and BMI， blood pressure，blood glucose，blood cholesterol and blood glyceride were analyzed.Results Of all the 180 patients，125 cases was microvascular complication，the incidence rate of microvascular complication was 69.44%，65 cases were diabetic retinopathy，79 cases were diabetic nephropathy，19 cases both were diabetic retinopathy and diabetic nephropathy， with the positive treatment， all patients were improved and left hospital. The difference between microvascular complication group and nomicrovascular complication group was statistically significant in BMI， blood pressure，blood glucose of 2-hour postprandial， blood glyceride.Conclusion Microvascular complication of diabetes are closely related to obesity， blood glueose， hypertension， hyperlipidemia. 　　[Key words] Diabetes mellitus； Microvascular complication； Clinical observation 　　随着经济快速发展，人们的饮食习惯及生活方式较以前有了很大的改变，加上人口老龄化，我国糖尿病患病率逐年增加，我国糖尿病主要以2型糖尿病为主[1]，占90%以上。糖尿病是一组以慢性血葡萄糖水平增高为特征的代谢性疾病，是由于胰岛素分泌或作用缺陷所引起。长期碳水化合物以及脂肪、蛋白质紊乱可引起多系统损害，导致眼、肾、神经、心脏、血管等组织器官慢性进行性病变、功能减退及衰竭[2]。是临床常见的一种疾病，其并发症累及多个