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目的 :本研究就酮症首发的糖尿病患者,观察其临床特征,明确其分型,比较酮症倾向糖尿病患者与非酮症糖尿病患者发病时临床特征之间的差异。方法 :选2型糖尿病患者262例,分为酮症倾向糖尿病和非酮症糖尿病患者两组,比较两组年龄、性别、体重指数、体重下降、病程、糖化血红蛋白、血脂异常、空腹C肽等的差异。结果 :1.酮症倾向糖尿病患者组中男性比例明显高非于酮症糖尿病患者组(P<0.01);2.酮症倾向糖尿病患者组与非酮症糖尿病患者组在年龄上具有统计学差异(p<0.05);3.酮症倾向糖尿病患者组的空腹C肽水平明显低于非酮症糖尿病患者组(P<0.05);4.酮症倾向糖尿病患者组的体重下降、糖化血红蛋白、血脂异常明显高于非酮症糖尿病患者组(P<0.05);结论 :两组中年龄、男性比例、病程、空腹C肽、糖化血红蛋白、体重下降、血脂异常具有统计学差异。
OBJECTIVE: To investigate the clinical features of diabetes mellitus patients with ketosis, and to clarify their classification, to compare the clinical features of ketosis-prone diabetic patients with those of non-ketotic diabetic patients. Methods: A total of 262 patients with type 2 diabetes mellitus were divided into two groups: ketosis-prone diabetic and non-ketotic diabetic patients. The age, sex, body mass index, weight loss, duration of disease, glycosylated hemoglobin, dyslipidemia, fasting C-peptide The difference. The proportion of males with ketosis-prone diabetic patients was significantly higher than that of ketosis diabetic patients (P <0.01) .2. There was a significant difference in age between ketosis-prone diabetic patients and nonketotic diabetic patients (P <0.05) .3. The level of fasting C-peptide in diabetic ketoacidosis patients was significantly lower than that in non-ketotic diabetic patients (P <0.05) .4. The patients with predisposition to diabetic ketoacupuncture had weight loss, HbA1c, (P <0.05). Conclusion: There were significant differences in age, male ratio, course of disease, fasting C-peptide, HbA1c, weight loss and dyslipidemia between the two groups.