首页|农村地区新诊断住院2型糖尿病患者临床特征及相关危险因素分析

农村地区新诊断住院2型糖尿病患者临床特征及相关危险因素分析

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目的 分析麻城市农村地区新诊断住院 2型糖尿病(T2DM)患者临床特征及相关危险因素。方法 选取2021年8 月至 2022 年 9 月在我院内分泌科住院的 182 例新诊断为T2DM的患者,根据发病年龄将其分为≤40岁组(早发)和>40 岁组(晚发)。收集患者的一般资料、相关指标及合并症发生情况。分析新诊断早发T2DM的危险因素。结果 182例患者中,27例为早发,155例为晚发。≤40岁组的男性、有糖尿病家族史占比、尿酸(UA)、甘油三酯(TG)水平、颈动脉斑块、急性并发症、微血管并发症占比高于>40 岁组,年龄、收缩压(SBP)、载脂蛋白A1(ApoA1)水平低于>40岁组(P<0。05)。多因素Logistic回归分析结果显示,性别(男性)、糖尿病家族史、TG是新诊断早发T2DM的独立危险因素(P<0。05)。结论 农村地区新诊断住院T2DM患者整体血糖水平较高,微血管并发症患病率高,男性、糖尿病家族史、TG是新诊断早发T2DM的独立危险因素。
Analysis of clinical characteristics and related risk factors of newly diagnosed hospitalized patients with type 2 diabetes mellitus in rural areas
Objective To analyze the clinical characteristics and related risk factors of newly diagnosed hospitalized patients with type 2 diabetes mellitus(T2DM)in rural areas of Macheng city.Methods From August 2021 to September 2022,182 newly diagnosed T2DM patients hospitalized in the endocrinology department of our hospital were selected and divided into≤40 years old group(early onset)and>40 years old group(late onset)according to the age of onset.The general data,related indicators and complications of the patients were collected.The risk factors of newly diagnosed early onset T2DM were analyzed.Results Of the 182 patients,27 case were early onset and 155 case were late onset.The male,proportion of family history of diabetes,uric acid(UA),triglyceride(TG)levels,proportions of carotid plaque,acute complications and microvascular complications in the≤40 years old group were higher than those in the>40 years old group,and the age,systolic blood pressure(SBP)and apolipoprotein A1(ApoA1)level were lower than those in the>40 years old group(P<0.05).Multivariate Logistic regression analysis results showed that gender(male),family history of diabetes and TG were independent risk factors for newly diagnosed early onset T2DM(P<0.05).Conclusion The overall blood glucose level of newly diagnosed T2DM patients in rural areas is high,and the prevalence of microvascular complications is high.Male,family history of diabetes and TG are independent risk factors for newly diagnosed early onset T2DM.

rural areanewly diagnosed type 2 diabetes mellitusearly onset

肖芳芳、周喜平、喻自峰、孙秀菊、罗倩、刘寒、王志辉

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湖北科技学院附属医院/麻城市人民医院内分泌科,湖北 黄冈,438300

农村地区 新诊断 2型糖尿病 早发

武汉市第四医院麻城市人民医院科技人才培育专项科研基金(2021)

KY-Y-202107

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(15)
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