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目的确定老年2型糖尿病合并心脑血管病变的相关因素,为临床预防以及减少老年2型糖尿病合并心脑血管病变提供可靠的临床依据。方法给予老年2型糖尿病调查表应由患者本人填写,医务人员逐一指导完成,并收回调查表,对表内各项内容记录,并进行统计学分析。结果嗜甜以及嗜荤与老年2型糖尿病患者并发心脑血管病变的风险增加有关,而嗜素对2型糖尿病患者发生心脑血管病变具有保护作用;应对老年2型糖尿病患者进行合理饮食调节;吸烟可增加老年2型糖尿病患者合并心脑血管病变的风险;合理运动可降低老年2型糖尿病患者合并心脑血管病变的风险;有低血糖发作史的老年2型糖尿病患者合并心脑血管病变的风险增加。结论老年2型糖尿病合并心脑血管病变的负面相关因素为嗜甜、嗜荤、少量运动或不运动、有低血糖发作史、不规律饮食习惯、吸烟史等;老年2型糖尿病合并心脑血管病变的正面相关因素为嗜素、饮食规律、适当运动、无吸烟史以及低血糖发作史等。
Objective To determine the related factors of type 2 diabetes mellitus with cardiovascular and cerebrovascular diseases in elderly patients and provide a reliable clinical basis for clinical prevention and reducing type 2 diabetes mellitus and cardiovascular and cerebrovascular diseases in the elderly. Method To give the elderly type 2 diabetes mellitus questionnaire should be filled in by patients themselves, medical staff one by one to guide the completion of, and recover the questionnaire, the contents of the table records, and statistical analysis. The results of the flesh and sweet-eaten with type 2 diabetes in elderly patients with increased risk of cardiovascular and cerebrovascular disease, while the eosinophilic type 2 diabetes patients with cardiovascular and cerebrovascular lesions have a protective effect; elderly patients with type 2 diabetes should be rationally adjusted diet; Smoking increases the risk of cardiovascular and cerebrovascular disease in elderly type 2 diabetic patients; rational exercise can reduce the risk of cardiovascular and cerebrovascular disease in elderly type 2 diabetic patients; elderly type 2 diabetic patients with a history of hypoglycemic episodes of cardiovascular disease Increased risk. Conclusions The negative related factors of type 2 diabetes mellitus with cardiovascular and cerebrovascular diseases in the elderly are sweetness, addiction, little exercise or no exercise, history of hypoglycemia, irregular eating habits, smoking history, etc .; elderly type 2 diabetes with cardiovascular and cerebrovascular The positive correlates of the disease were phlebitis, dietary patterns, proper exercise, no history of smoking, and history of hypoglycemic episodes.