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目的 分析门诊糖尿病患者血脂紊乱及其诊治情况。方法 调查分析未住过院的糖尿病患者 168例的血脂状况。结果 其中 83 %的患者做过血脂测定。在测过血脂的患者中低密度脂蛋白胆固醇 (LDL -C)在 2 6～ 3 3mmol/L的占 3 8% ,LDL -C≥ 3 4mmol/L的占 3 6%。在LDL -C≥ 3 4mmol/L的患者中未用调脂药物治疗的占 47%。高密度脂蛋白胆固醇 (HDL -C) <1 0mmol/L的占 9% ,这些患者均未因低水平的HDL -C而进行调脂治疗。甘油三酯(TG)在 1 7～ 2 2mmol/L的占 2 0 % ,TG≥ 2 3mmol/L的占 3 6%。在长期用调脂药物治疗的患者中 ,LDL -C达标 (<2 6mmol/L)的占 40 % ,HDL -C >1mmol/L者占 10 0 % ,TG <1 7mmol/L者占 2 0 %。比较这组患者中伴发高血压组和无高血压组的LDL -C、HDL -C、TG和总胆固醇 (TC)水平 ,差异均无显著性。结论 该院门诊大多数糖尿病患者均经过血脂检查 ,糖尿病患者中LDL -C >2 6mmol/L的占 74%。在LDL -C≥ 3 4mmol/L的患者中近半数未用调脂药物治疗。长期用调脂药物治疗的患者中 ,LDL -C达标 (<2 6mmol/L)的仅占 40 %。可见 ,糖尿病患者中脂代谢紊乱的教育及其他干预治疗措施仍是一个需要高度重视的问题。
Objective To analyze the dyslipidemia and its diagnosis and treatment in outpatients with diabetes. Methods To investigate the blood lipid status of 168 patients without hospitalized diabetes. Results 83% of the patients had lipids determination. In patients with lipid measured LDL-C (26 ~ 33mmol / L accounted for 38%, LDL C ≥ 34mmol / L accounted for 36%. In patients with LDL C ≥ 34 mmol / L, 47% were not treated with lipid-lowering drugs. High-density lipoprotein cholesterol (HDL-C) <10 mmol / L accounted for 9% of these patients were not lipid-lowering therapy due to low levels of HDL-C. Triglycerides (TG) accounted for 20% of the total in the range of 27 to 22 mmol / L, while 36% of the TGs were 23 mmol / L. In the long-term use of lipid-lowering drugs in patients with LDL-C compliance (<26mmol / L) accounted for 40%, HDL-C> 1mmol / L accounted for 10%, TG <17mmol / L accounted for 20 %. There was no significant difference in the levels of LDL-C, HDL-C, TG and total cholesterol (TC) in this group of patients with and without hypertension. Conclusion Most patients with diabetes mellitus in this clinic have been examined with lipids, and LDL-C> 26mmol / L in diabetic patients accounts for 74%. Nearly half of patients with LDL C ≥ 34 mmol / L were not treated with lipid-lowering drugs. Among patients treated with long-term lipid-lowering drugs, only 40% of patients with LDL-C (<26 mmol / L) met the criteria. Visible, diabetic patients with dyslipidemia education and other interventions are still a matter of great importance.