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目的探讨老年2型糖尿病合并心脑血管病变的临床表现及危险因子。方法 44例老年2型糖尿病患者,根据临床诊断有无合并心脑血管病变分为观察组和对照组,各22例。观察组患者无合并心脑血管病变,对照组患者合并心脑血管病变。观察两组血糖水平及其相关影响因素。结果观察组患者的平均血糖值(6.3±1.2)mmol/L,低于对照组的(9.6±2.5)mmol/L(P<0.05)。对照组较观察组在饮食上会更多的选择甜食、荤食、咸食等食物,且有吸烟史。结论老年患者的生活习惯、血糖情况等都是影响2型糖尿病合并心脑血管病变患者病情的主要因素。
Objective To investigate the clinical manifestations and risk factors of type 2 diabetes mellitus with cardiovascular and cerebrovascular diseases in the elderly. Methods Forty - four elderly patients with type 2 diabetes mellitus were divided into observation group and control group according to the clinical diagnosis of cardiovascular and cerebrovascular diseases, with 22 cases in each group. Patients in the observation group had no cardiovascular and cerebrovascular diseases, while patients in the control group had cardiovascular and cerebrovascular diseases. The level of blood glucose and related factors were observed. Results The mean blood glucose (6.3 ± 1.2) mmol / L in the observation group was significantly lower than that in the control group (9.6 ± 2.5) mmol / L (P <0.05). The control group than the observation group in the diet will be more choice sweets, meat, salty food and other foods, and a history of smoking. Conclusion Elderly patients’ lifestyle, blood glucose and other factors are all the major factors affecting the patients with type 2 diabetes complicated with cardiovascular and cerebrovascular diseases.