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目的:了解上海地区门诊糖尿病患者的各种慢性合并症与并发症及其相关危险因素。方法:调查我院门诊糖尿病患者1533例,记录慢性合并症、并发症及各种相关危险因素并进行相关的统计分析。结果:上海地区糖尿病患者的各种慢性合并症与并发症的发生率由高到低依次为周围血管病变67.0%,高血压63.2%,血脂紊乱45.1%,家族糖尿病34.8%,高尿酸血症29.0%,视网膜病变28.0%,脂肪肝27.1%,糖尿病肾病21.1%。女性患者高尿酸血症、脂肪肝、家族糖尿病史发生率高于男性,各种慢性合并症与并发症多随年龄与病程的增加而升高。结论:上海地区门诊糖尿病患者各种慢性合并症与并发症的发病率较高,定期监测并联合控制血糖、血压、血脂水平是防治各种慢性合并症与并发症的关键。
Objective: To understand various chronic complications and complications of outpatients with diabetes in Shanghai area and its related risk factors. Methods: A total of 1533 outpatients with diabetes mellitus in our hospital were surveyed. Chronic comorbidities, complications and various related risk factors were recorded and related statistics were analyzed. Results: The incidences of various chronic complications and complications in diabetic patients in Shanghai were 67.0% for peripheral vascular disease, 63.2% for hypertension, 45.1% for dyslipidemia, 34.8% for familial diabetes and 29.0% for hyperuricemia %, Retinopathy 28.0%, fatty liver 27.1%, diabetic nephropathy 21.1%. Female patients with hyperuricemia, fatty liver, family history of diabetes higher than men, a variety of chronic complications and complications with increased age and duration increased. Conclusion: The prevalence of various chronic complications and complications in outpatients with diabetes in Shanghai area is high. Regular monitoring and combined control of blood glucose, blood pressure and blood lipid level are the keys to prevention and treatment of various chronic complications and complications.