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[成人糖尿病并发症年表。拉瓦尔南区研究]

[Chronology of complications from diabetes in adults. The Raval Sud study].

作者信息

Morato Griera J, Franch Nadal J, Carrillo Muñoz R, Via Vidal M, Herrera Ruiz A, Valerio Sallent L L

机构信息

ABS Raval Sud, Barcelona.

出版信息

An Med Interna. 1995 Sep;12(9):431-7.

PMID:8924547
Abstract

OBJECTIVE

The objective of the study is to accomplish an analysis of the prevalence of the diabetic complications in relationship to the evolution years of the Diabetes Mellitus Non-Insulin-Dependent (DMNID).

RESEARCH DESIGN AND METHODS

It is designing a transverse descriptive study through a random sampling among the population with DMNID of our center (n = 315). In addition to the age, the sex and the year of the diagnostic, is studied the presence of microangiopathy (retinopathy and nephropathy), macroangiopathy (peripheric, cerebral and coronary disease) and of the complications by diabetic neuropathy (NP) (peripheral and vegetative).

RESULTS

The prevalence global obtained for each complication was the following: Retinopathy: 33%, Nephropathy: 17%, peripheric vasculopathy: 21%, cerebral vasculopathy: 10%, coronary disease: 14%, peripheral neuropathy: 40%, vegetative neuropathy: 20%. It is analysing the relationship among the presence of the complications with the age, the sex and the years from the diagnosis of the DMNID.

CONCLUSIONS

Except in the coronary disease (possibly by the mortality of the process), the other complications showed a clear increase to the evolution years of the DMNID. 52% of the diabetics were already presenting some complication in the moment of the diagnostic.

摘要

目的

本研究的目的是分析糖尿病并发症的患病率与非胰岛素依赖型糖尿病(DMNID)病程的关系。

研究设计与方法

通过对本中心DMNID患者群体进行随机抽样,设计一项横向描述性研究(n = 315)。除年龄、性别和诊断年份外,还研究微血管病变(视网膜病变和肾病)、大血管病变(外周血管、脑血管和冠状动脉疾病)以及糖尿病神经病变(NP)(外周和自主神经)引起的并发症。

结果

每种并发症的总体患病率如下:视网膜病变:33%,肾病:17%,外周血管病变:21%,脑血管病变:10%,冠状动脉疾病:14%,外周神经病变:40%,自主神经病变:20%。正在分析并发症的存在与年龄、性别以及DMNID诊断后的病程之间的关系。

结论

除冠状动脉疾病(可能由于该疾病的死亡率)外,其他并发症在DMNID病程中呈明显上升趋势。52%的糖尿病患者在诊断时已出现某种并发症。

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