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目的比较老年与非老年2型糖尿病(T2DM)临床特征的异同。方法收集同期住院治疗的285例老年糖尿病患者及282例非老年糖尿病患者的临床资料,比较病程、体质量指数、血压、空腹血糖、血脂、糖化血红蛋白及并发症情况。结果病程、舒张压、胆固醇等方面,两组差异有统计学意义(P<0.05),老年组病程长,非老年组舒张压、血总胆固醇较高;两组患者空腹血糖、糖化血红蛋白、血压、胆固醇、甘油三酯、低密度脂蛋白达标率均较低,非老年组更低;老年组患者心、脑血管疾病、视网膜病变等眼部并发症、感染性疾病等的患病率较非老年组高(P<0.05)。结论老年和非老年糖尿病患者血糖、血脂、血压控制达标率均低,与糖尿病防治指南的控制目标有较大差距,需要进一步重视T2DM治疗的全面达标;老年糖尿病患者心脑血管疾病、视网膜病变、感染并发症的患病率较高,应加强防治;非老年糖尿病患者应加强血脂、血压的控制。
Objective To compare the similarities and differences of the clinical features of type 2 diabetes mellitus (T2DM) between the elderly and non-elderly. Methods The clinical data of 285 elderly diabetic patients and 282 non-elderly diabetic patients were collected during the same period of hospitalization. The course of disease, body mass index, blood pressure, fasting blood glucose, blood lipids, glycosylated hemoglobin and complications were compared. Results The course of disease, diastolic blood pressure and cholesterol were significantly different between the two groups (P <0.05). The elderly patients had longer duration of disease and diastolic blood pressure and higher total cholesterol in the non-elderly group. The fasting blood glucose, glycosylated hemoglobin, blood pressure Cholesterol, triglyceride and low-density lipoprotein were lower in the non-elderly group than those in the non-elderly group. The prevalence of ocular complications such as heart, cerebrovascular disease and retinopathy in the elderly group was lower than that of the non-elderly group The elderly group was higher (P <0.05). Conclusion The control rates of blood glucose, blood lipids and blood pressure in elderly and non-elderly diabetic patients are both low and have a long way to go in controlling the guidelines of diabetes prevention and treatment. More attention should be paid to the full compliance of T2DM. Cardiovascular and cerebrovascular diseases, retinopathy, The prevalence of infection complications should be strengthened, prevention and treatment should be strengthened; non-elderly diabetic patients should strengthen blood lipids, blood pressure control.