乌鲁木齐市新市区杭州路社区老年2型糖尿病合并冠心病现状及相关危险因素

发布时间：2018-05-25 03:04

  本文选题：老年型糖尿病 + 冠心病　； 参考：《中国老年学杂志》2017年21期

【摘要】：目的探讨乌鲁木齐市新市区杭州路社区老年2型糖尿病合并冠心病患者发病现状及相关危险因素分析。方法自制调查问卷调查2016年1~12月乌鲁木齐市新市区杭州路社区200例老年2型糖尿病患者冠心病患病情况,根据是否合并冠心病,应用随机数字表法将200例患者分为研究组58例(合并冠心病)和对照组142例(未合并冠心病),采用单因素和多因素Logistic回归分析老年2型糖尿病患者合并冠心病的危险因素。结果女性患者的冠心病患病率高于男性(P0.05)。糖尿病病程超过10年的患者冠心病患病率明显高于病程≤10年者(P0.05)。单因素分析结果显示年龄、体质量指数(BMI)、有无2型糖尿病家族史、是否吸烟、饮酒、伴有糖尿病并发症、高血压、血脂异常均与该社区老年糖尿病患者合并发生冠心病有关(P0.05)。Logistic回归分析结果显示,吸烟、BMI≥24 kg/m~2、伴有糖尿病并发症、高血压、血脂异常是老年糖尿病患者合并发生冠心病的危险因素(P0.05)。结论乌鲁木齐市新市区杭州路社区老年2型糖尿病患者的冠心病患病率较高,有明显的性别差异。吸烟、BMI≥24 kg/m~2、伴有糖尿病并发症、高血压、血脂异常是老年糖尿病患者合并发生冠心病的危险因素,根据相关危险因素及时制定干预措施,是降低该社区老年糖尿病患者冠心病患病率的关键。
[Abstract]:Objective to investigate the prevalence and risk factors of elderly patients with type 2 diabetes mellitus complicated with coronary heart disease (CHD) in Hangzhou Road Community in Urumqi City. Methods A self-made questionnaire survey was conducted to investigate the prevalence of coronary heart disease in 200 elderly patients with type 2 diabetes mellitus in Hangzhou Road Community of Urumqi City from January to December 2016. Two hundred patients were randomly divided into study group (n = 58) and control group (n = 142). Univariate and multivariate Logistic regression analysis was used to analyze the risk factors of coronary heart disease (CHD) in elderly patients with type 2 diabetes mellitus. Results the prevalence of coronary heart disease in female patients was higher than that in male patients (P 0.05). The prevalence of coronary heart disease in patients with diabetes over 10 years was significantly higher than that in patients with less than 10 years duration of diabetes (P 0.05). Univariate analysis showed that age, body mass index (BMI), family history of type 2 diabetes, smoking, drinking, diabetes complications, hypertension, The results of logistic regression analysis showed that the BMI of smoking was more than 24 kg / m ~ (2), accompanied by diabetic complications and hypertension. Dyslipidemia is a risk factor of coronary heart disease in elderly patients with diabetes mellitus. Conclusion the prevalence of coronary heart disease in the elderly patients with type 2 diabetes mellitus in Hangzhou Road Community of Urumqi City is higher and there is obvious gender difference. Smoking BMI 鈮，

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