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目的:探讨新疆医科大学第一附属医院住院糖尿病(DM)患者的主要死亡原因,初步尝试分析年龄、病程、性别、空腹血糖对不同死因的影响。方法:对301例住院死亡的糖尿病患者的资料进行回顾性分析。结果:1998～2007年住院死亡糖尿病患者共301例,糖尿病患者的前五位原因分别为心血管疾病(22.6%),肾脏疾病(19.9%)、脑血管病(16.0%)、肿瘤(13.6%)、感染(13.0%);死于脑血管疾病的糖尿病患者年龄最大,死于感染的糖尿病患者年龄最小;糖尿病死亡时的病程主要集中在10年以下,首位死因为心血管疾病;病程以肾脏疾病病程最长,肿瘤最短;糖尿病死亡的男性患者首位死因为心血管疾病,女性患者首位死因为肾脏疾病;死于心血管及脑血管疾病的糖尿病患者空腹血糖水平最高,死于肾脏疾病的糖尿病患者空腹血糖水平最低。结论:糖尿病各种直接死因中,心血管疾病居首位,有必要加强糖尿病患者的心血管事件的监测及防治。年龄、病程、性别、FPG水平对死因有影响。
Objective: To investigate the major causes of death of inpatients with diabetes mellitus (DM) in the First Affiliated Hospital of Xinjiang Medical University and to try to analyze the influence of age, course of disease, gender and fasting blood glucose on different causes of death. Methods: The data of 301 hospitalized diabetic patients were analyzed retrospectively. Results: Among the 301 hospitalized diabetic patients from 1998 to 2007, the top five causes of diabetes were cardiovascular disease (22.6%), kidney disease (19.9%), cerebrovascular disease (16.0%) and tumor (13.6% ), And infection (13.0%). The oldest diabetic patients died of cerebrovascular disease and the youngest patient died of diabetes. The duration of diabetes died mainly in less than 10 years. The first death was cardiovascular disease. The duration of the disease was kidney The disease has the longest course and the shortest tumor. The first male death cause of diabetes is cardiovascular disease. The first female cause of death is kidney disease. The diabetic patients who die of cardiovascular and cerebrovascular diseases have the highest fasting blood glucose level and die of kidney disease Patients with the lowest fasting blood glucose levels. Conclusion: Of the various direct causes of diabetes, cardiovascular diseases rank the first place and it is necessary to strengthen the monitoring and prevention of cardiovascular events in diabetic patients. Age, duration, gender, FPG levels have an impact on the cause of death.