2007—2012年住院糖尿病患者临床资料调查分析

Analysis of the diabetic patients hospitalized from 2007 to 2012

关键词:  糖尿病  流行病学  入院原因

Key words:  diabetes  epidemiology  reasons for hospitalization

摘要:

目的　分析住院糖尿病患者资料，为流行病学研究提供依据。 　方法　收集2007年3月—2012年3月大连医科大学附属第一医院三部所有出院诊断包含糖尿病的病历，获得完整资料4 684份，调查主要入院原因，并进行统计分析。　结果　前5位入院原因为慢性并发症（44.21%），第5年与第1年相比，P<0.01；感染（28.29%）、高血糖症候群（15.22%）、肿瘤（6.34%）、急性并发症（1.90%）。合并慢性并发症人数逐年增加，前5位为心血管病变（45.79%）、脑血管病变（33.24%）、糖尿病周围神经病变（24.44%）、白内障（22.82%）、糖尿病肾病（21.48%）。 　结论　慢性并发症为首要入院原因。

Abstract:

Objective　To provide good grounds for diabetic epidemiology by analyzing the data of diabetic patients hospitalized in the third department of the first affiliated hospital of Dalian Medical University in past 5 years. 　Methods　All cases with discharge diagnosis for diabetes mellitus from March, 2007 to March, 2012 were accessed. 4684 complete cases were obtained and filled in unified questionnaires. The data were analyzed through SPSS 16.0 software. 　Results　The top five reasons for hospitalization were chronic complications (44.21%), infection (28.29%), hyperglycemia group (15.22%), tumors (6.34%) and acute complications (1.90%).The number of chronic complications had a significant increase year after year (P<0.01). The top five were cardiovascular disease (45.79%), cerebrovacular disease (33.24%), diabetic peripheral neuropathy (24.44%), cataract (22.82%) and nephropathy (21.48%). 　Conclusion　The patients associated with chronic complication significantly increased year by year, which were the primary reasons for hospitalization.