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目的 :探讨脂质代谢紊乱与老年糖尿病并发症及其预后之间的关系。方法 :对 78例老年糖尿病伴脂类代谢紊乱病人进行回顾性分析 ,同时观察这些病人糖尿病并发症的发生情况以及血脂代谢异常对糖尿病预后的影响。结果 :伴有脂类代谢紊乱的老年糖尿病患者大多肥胖 ,糖尿病症状不典型 ,以脂肪肝、感染及大血管并发症常见 ,与高脂血症密切相关的心脑血管病是老年糖尿病主要死因。结论 :脂代谢紊乱可能是老年糖尿病主要并发症发生和加重的重要因素 ,减肥降脂可降低老年糖尿病伴冠心病等大血管病变的患病率和死亡率。
Objective: To investigate the relationship between lipid metabolism disorders and complications and prognosis of senile diabetes. Methods: A retrospective analysis was performed on 78 elderly patients with diabetes mellitus with metabolic disorder. The incidences of diabetic complications and the effects of dyslipidemia on the prognosis of diabetic patients were also observed. Results: Most elderly diabetic patients with lipid metabolism disorder were obese and the symptoms of diabetes were not typical. Fatty liver, infection and macrovascular complications were common. Cardiovascular and cerebrovascular diseases closely related to hyperlipidemia were the major causes of death in elderly patients. Conclusion: The disorder of lipid metabolism may be an important factor in the occurrence and aggravation of major complications of senile diabetes. Diet and lipid lowering can reduce the morbidity and mortality of senile diabetes mellitus with coronary heart disease and other macrovascular diseases.