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[目的]了解大连市糖尿病住院病例的人群分布特点,探索糖尿病发生的特点和规律,为制定预防控制策略和治疗提供参考资料。[方法]对2010年大连市医疗机构住院糖尿病患者资料进行分析。[结果]全年合计报告住院糖尿病病例19 843例,其中,1型糖尿病占1.76%,2型糖尿病占98.24%;男性占47.43%,女性占52.57%;平均年龄61.45岁,5～14、15～24、25～34、35～44、45～54、55～64、65～74、75～84、≥85岁的分别占0.17%、0.54%、1.52%、5.86%、19.26%、28.05%、24.96%、17.87%、1.78%;不伴并发症的、未特指并发症的、糖尿病酮症和/或酸中毒、伴昏迷、伴肾脏表现、伴眼部表现、伴周围神经表现、糖尿病足、伴多个并发症、其他并发症的分别占16.09%、3.09%、6.31%、0.59%、0.03%、4.67%、24.16%、2.24%、32.73%、10.08%;治愈、好转、未愈、死亡者分别占31.42%、67.24%、0.64%、0.71%;公费、企业医保、事业医保、商业保险、自费、其他付费的分别占1.32%、58.86%、19.26%、0.67%、12.22%、7.69%。[结论]住院糖尿病病人以中老年人为主,女性多于男性,绝大多数伴有并发症;临床好转率较高。
[Objective] To understand the population distribution characteristics of diabetes inpatients in Dalian, explore the characteristics and rules of diabetes and provide reference materials for making prevention and control strategies and treatment. [Method] The data of inpatients with diabetes in medical institutions in Dalian in 2010 were analyzed. [Results] 19 843 cases of in-hospital diabetes were reported in the whole year, among which, type 1 diabetes accounted for 1.76%, type 2 diabetes accounted for 98.24%; men accounted for 47.43%, women accounted for 52.57%; mean age 61.45 years, 5-14, 15 ~ 24,25 ~ 34,35 ~ 44,45 ~ 54,55 ~ 64,65 ~ 74,75 ~ 84, ≥85 years accounted for 0.17%, 0.54%, 1.52%, 5.86%, 19.26%, 28.05% , 24.96%, 17.87%, 1.78% respectively; non-complication, unspecified complication, diabetic ketosis and / or acidosis, with coma, with renal manifestations, with ocular manifestations, with peripheral nerve manifestations, diabetes There were many complication in foot and complication, other complication accounted for 16.09%, 3.09%, 6.31%, 0.59%, 0.03%, 4.67%, 24.16%, 2.24%, 32.73%, 10.08% respectively; Accounting for 31.42%, 67.24%, 0.64% and 0.71% of the total death respectively; public funds, enterprise health insurance, medical insurance, commercial insurance and self-payment accounted for 1.32%, 58.86%, 19.26%, 0.67% and 12.22% 7.69%. [Conclusion] The majority of hospitalized diabetic patients are middle-aged and elderly with more women than men, with the vast majority accompanied by complications. The rate of clinical improvement is high.