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对海口地区3家三级甲等医院1996~2006年以非糖尿病首诊住院的糖尿病患者902例进行10年回顾性调查分析。结果调查住院糖尿病患者4258例,有902例以非糖尿病首诊住院,占21.2%。902例中60岁以上573例(63.5%),肥胖症者281例(31.2%);以心血管病首诊318例(35.2%),脑血管病106例(11.7%),感染210例(23.3%),健康体检98例(10.9%),血脂异常68例(7.5%)周围神经病变34例(3.9%),视网膜病变12例(1.3%),肾病8例(0.9%),皮肤瘙痒症12例(1.3%),胆石症8例(0.9%)。结论以非糖尿病首诊的糖尿病患者中,老年患者居多,有相当部分为肥胖者,常见的首诊临床表现或疾病依次为心血管病、感染、脑血管病、健康体检发现、血脂异常、周围神经病变、视网膜病变、皮肤瘙痒症、胆石症及肾病,故有以上情况者,应常规检测血糖。
A retrospective survey of 902 cases of diabetic patients hospitalized in the first three hospitals in Haikou from 1996 to 2006 with no first diabetes was conducted. Results A total of 4258 inpatients with diabetes were investigated, of whom 902 were hospitalized with non-diabetic first visit, accounting for 21.2%. Among 902 cases, 573 cases (63.5%) were over 60 years old and 281 cases (31.2%) were obesity; the first cardiovascular disease was 318 cases (35.2%), cerebrovascular disease was 106 cases (11.7%) and infection was 210 cases 23.3%), 98 cases (10.9%) of healthy physical examination, 68 cases (7.5%) of dyslipidemia peripheral neuropathy in 34 cases (3.9%), 12 cases of retinopathy (1.3%), 8 cases of nephropathy 12 cases (1.3%) and 8 cases (0.9%) of cholelithiasis. Conclusion Among the non-diabetic first diagnosed diabetic patients, the majority of elderly patients, a considerable number of obese people, the first common clinical manifestations or diseases were cardiovascular disease, infection, cerebrovascular disease, physical examination findings, dyslipidemia, peripheral Neuropathy, retinopathy, pruritus, cholelithiasis and kidney disease, so the above situation should be routine testing of blood glucose.