Lundershausen R, Zabel-Langhennig R, Pissarek D, Panzram G
Poliklinik für Innere Medizin, Medizinischen Akademie Erfurt.
Z Gesamte Inn Med. 1988 Dec 1;43(23):658-62.
In 150 newly detected type 2 diabetics the formation of macro- and microangiopathic complications during a 10-year control period was prospectively analysed, in order to demarcate possible factors of influence for the vascular prognosis under preventive points of view. Already at the time of manifestation there was with 34.3% an above average high prevalence of the coronary heart disease, particularly in the female sex. The prevalence of the coronary heart disease further increased to 49.7% in the course of diabetes and showed a correlation to the initial age, to the existence of overweight, hypertension, hyperlipoproteinaemia and nicotine consumption. The PMA was found comparatively more infrequent in the manifestation of diabetes (9.7%), but in the course of the disease highly significantly and independently of sex increased to 61.9%. The development of PMA was correlated with the age, the existence of hypertension and overweight. The frequency of retinopathy increased from initially 3.7% to 18.7%, the prevalence of nephropathy from 4.0% to 22.2%, without having found prognostic influence factors at the date of the diagnosis of diabetes.
对150例新诊断的2型糖尿病患者进行了前瞻性分析,观察他们在10年的控制期内大血管和微血管并发症的发生情况,以便从预防的角度确定可能影响血管预后的因素。在疾病初发时,冠心病的患病率就高达34.3%,高于平均水平,尤其是在女性患者中。在糖尿病病程中,冠心病的患病率进一步升至49.7%,且与初发年龄、超重、高血压、高脂蛋白血症及吸烟有关。糖尿病初发时,增殖性视网膜病变(PMA)相对少见(9.7%),但在病程中显著增加,且与性别无关,高达61.9%。PMA的发生与年龄、高血压及超重有关。视网膜病变的发生率从最初的3.7%增至18.7%,肾病的患病率从4.0%增至22.2%,在糖尿病诊断时未发现有预后影响因素。