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目的了解本溪市中心城区的2型糖尿病患者合并脑卒中的患病率及其相关因素。方法对常住本溪市中心城区且参加城镇职工基本医疗保险并建立健康档案的2276例2型糖尿病门诊患者进行问卷调查、体格检查及实验室检测,并根据临床特征及伴有糖尿病其他并发症分组,应用SPSS13.0软件进行统计分析。结果 2型糖尿病合并脑卒中患病率为15.91%。男性患病率(19.64%)高于女性(11.98%),差异有统计学意义(χ2=24.932,P<0.05)。随年龄增长和病程延长其患病率呈上升趋势(χ2=54.552,P<0.05;χ2=22.785,P<0.05)。吸烟(21.65%)、有糖尿病家族史(18.14%)、体质指数(BMI)≥24kg/m2(20.22%)、HbA1C≥8%(19.77%)、高血压(20.61%)、血脂异常(19.28%)、高尿酸血症(24.12%)、伴有冠心病(18.45%)的糖尿病患者合并脑卒中的患病率高于无相关因素者(分别为13.82%,14.02%,9.14%,14.18%,10.49%,6.15%,14.32%,14.90%)差异有统计学意义(P<0.05)。Logistic回归分析结果显示,年龄OR(95%CI)为1.833(1.564～2.037);病程1.649(1.259～2.048);性别1.795(1.341～1.969);吸烟1.723(1.337～1.925);糖尿病家族史1.359(1.139～1.901);BMI≥24kg/m22.518(1.886～2.846),HbA1C≥8%1.492(1.236～1.918);高血压2.214(1.685～2.535);血脂异常3.393(2.717～3.633);高尿酸血症1.902(1.314～2.157);冠心病1.292(1.116～1.998)。结论年龄、病程、性别、吸烟、糖尿病家族史、BMI≥24kg/m2、HbA1C≥8%、高血压、血脂异常、高尿酸血症、伴有冠心病是2型糖尿病合并脑卒中的危险因素。
Objective To understand the prevalence and related factors of stroke in type 2 diabetic patients in downtown of Benxi. Methods A total of 2276 cases of Type 2 Diabetes Outpatient patients who lived in central urban area of Benxi City and participated in basic medical insurance for urban workers and establish health records were investigated by questionnaires, physical examination and laboratory tests. According to clinical characteristics and other complications associated with diabetes, Application SPSS13.0 software for statistical analysis. Results The prevalence of type 2 diabetes with stroke was 15.91%. The prevalence of males (19.64%) was higher than that of females (11.98%), the difference was statistically significant (χ2 = 24.932, P <0.05). The prevalence increased with age and duration (χ2 = 54.552, P <0.05; χ2 = 22.785, P <0.05). (21.65%) had a family history of diabetes (18.14%), BMI≥24kg / m2 (20.22%), HbA1C≥8% (19.77%), hypertension (20.61%) and dyslipidemia (19.28% ), Hyperuricemia (24.12%), and coronary heart disease (18.45%) were higher than those without related factors (13.82%, 14.02%, 9.14%, 14.18% 10.49%, 6.15%, 14.32% and 14.90%, respectively). The difference was statistically significant (P <0.05). Logistic regression analysis showed that the age OR (95% CI) was 1.833 (1.564-2.037), the duration of disease was 1.649 (1.259-2.048), the sex was 1.795 (1.341-1.969), the smoking was 1.723 (1.337-1.925), the family history of diabetes was 1.359 1.139-1.901), BMI≥24kg / m22.518 (1.886-2.846), HbA1C≥8% 1.492 (1.236-1.918), hypertension 2.214 (1.685-2.535), dyslipidemia 3.393 (2.717-3.633), hyperuricemia Disease 1.902 (1.314 ~ 2.157); coronary heart disease 1.292 (1.116 ~ 1.998). Conclusions Age, course of disease, sex, smoking, family history of diabetes, BMI≥24kg / m2, HbA1C≥8%, hypertension, dyslipidemia, hyperuricemia and coronary heart disease are the risk factors of type 2 diabetes with stroke.