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目的探讨老年2型糖尿病(T2DM)血尿酸症变化的特点及意义。方法回顾性分析150例老年T2DM患者的临床资料。结果150例患者中高尿酸血症38例,与TC、TG、Cr、BMI相关,与FBS、HbA1c无关;高尿酸血症中高血压、冠心病、脑卒中患病率明显高于正常尿酸血症者。结论高尿酸血症在糖尿病及其并发症的发生和发展中起重要作用,对预后有不良影响,可作为判断预后的指标之一,应及时给予相关的干预。
Objective To investigate the characteristics and significance of the changes of serum uric acid in elderly type 2 diabetes mellitus (T2DM). Methods The clinical data of 150 elderly patients with T2DM were retrospectively analyzed. Results There were 38 cases of hyperuricemia in 150 cases, which were related to TC, TG, Cr and BMI, but not to FBS and HbA1c. The prevalence of hypertension, coronary heart disease and stroke in hyperuricemia was significantly higher than that in normal uric acid . Conclusions Hyperuricemia plays an important role in the occurrence and development of diabetes mellitus and its complications, which has an adverse effect on prognosis. It may be used as an indicator of prognosis. Relevant intervention should be timely given.