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31岁之前发病的糖尿病患者的预后。II. 影响预后的因素。

Prognosis of diabetics with diabetes onset before the age of thirty-one. II. Factors influencing the prognosis.

作者信息

Deckert T, Poulsen J E, Larsen M

出版信息

Diabetologia. 1978 Jun;14(6):371-7. doi: 10.1007/BF01228131.

Abstract

In 307 patients with diabetes mellitus, developed prior to 1933 and before age 31 it was demonstrated that: (1) frequent contact with a specialized diabetes clinic from an early stage of the disease; (2) a good quality of "metabolic control"; (3) a low insulin dose; (4) a body weight of 10% less than ideal; and (5) a mean blood pressure below 100 mm Hg, all had significantly beneficial effects upon the survival. It was also found that patients domiciled in Copenhagen had a significantly better prognosis than patients domiciled outside Copenhagen. Frequent contact with a diabetes centre was accompanied by an appreciable decrease in disabling late diabetic complications.

摘要

在1933年之前发病且年龄在31岁之前的307例糖尿病患者中,研究表明:(1)从疾病早期就频繁接触专业糖尿病诊所;(2)“代谢控制”质量良好;(3)胰岛素剂量低;(4)体重比理想体重低10%;(5)平均血压低于100 mmHg,所有这些对生存率均有显著的有益影响。还发现,居住在哥本哈根的患者预后明显好于居住在哥本哈根以外的患者。频繁接触糖尿病中心伴随着致残性晚期糖尿病并发症明显减少。

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