Drabo P Y, Kabore J, Lengani A, Ilboudo P D
Service de médecine interne, Ouagadougou, Burkina Faso.
Bull Soc Pathol Exot. 1996;89(3):185-90.
The study, conducted over 4 years among 400 diabetic patients, reports the epidemiological and clinical aspects of diabetes mellitus at the National Hospital of Ouagadougou, Burkina Faso. Epidemiologically, diabetes mellitus affects men by 64% and women by 36%. 76% are over 40 y. o., whereas only 2.2% are under 20. Clinically, the classification of diabetic patients shows that 10.7% are insulin-dependent and 76.5% non insulin-dependent. No usual tropical diabetes has been found. The calcifications observed in 2.5% of cases were combined with chronic alcoholic pancreatitis. The classic triad (polyuria, polyphagia, polydipsia) led to diagnostic by 41% of the patients, whereas 27.5% have been identified when having complications, and 23% by a systematic check-up. Cardio-vascular risk factors combined with diabetes have been found: obesity (28%), high blood pressure (20%), hyperuricaemia (14%), addiction to smoking (20%). The epidemiological characteristics, as well as the various clinical aspects, mostly complies with the observations of the african authors.
这项在布基纳法索瓦加杜古国家医院对400名糖尿病患者进行了4年的研究,报告了糖尿病的流行病学和临床情况。从流行病学角度看,糖尿病患者中男性占64%,女性占36%。76%的患者年龄超过40岁,而20岁以下的仅占2.2%。在临床上,糖尿病患者的分类显示,10.7%为胰岛素依赖型,76.5%为非胰岛素依赖型。未发现常见的热带糖尿病。在2.5%的病例中观察到的钙化与慢性酒精性胰腺炎有关。41%的患者因典型的三联征(多尿、多食、多饮)而确诊,27.5%的患者在出现并发症时被确诊,23%的患者是通过系统检查确诊的。已发现与糖尿病相关的心血管危险因素:肥胖(28%)、高血压(20%)、高尿酸血症(14%)、吸烟成瘾(20%)。其流行病学特征以及各种临床情况大多与非洲作者的观察结果相符。