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目的:探讨老年2型糖尿病患者合并心脑血管病变的相关危险因素及临床护理要点。方法:回归分析179例老年2型糖尿病患者病情情况,将其分为合并心脑血管病变组97例,无大血管病变组82例,进行对照研究。结果:①病例组患者嗜甜食、嗜荤食、吸烟史、低血糖发作史、低血糖发生频率显著高于对照组;运动频率及时间显著低于对照组;②Logistic回归分析显示,老年2型糖尿病合并心脑血管病变与饮食控制程度、吸烟、经常低血糖发作有关。结论:饮食控制差、有吸烟史、经常低血糖发作是老年2型糖尿病合并心脑血管病变的危险因素,应当积极采取相应的护理措施。
Objective: To explore the related risk factors and clinical nursing points of elderly patients with type 2 diabetes complicated with cardiovascular and cerebrovascular diseases. Methods: A total of 179 elderly patients with type 2 diabetes mellitus were retrospectively analyzed. The patients were divided into 97 patients with cardiovascular and cerebrovascular diseases and 82 patients without macrovascular complications. Results: ①There was a significant increase in the frequency of hypoglycemia and the history of hypoglycemia among the patients in the case-group compared with the control group. The frequency and time of exercise were significantly lower than those in the control group. ② Logistic regression analysis showed that type 2 diabetes mellitus Cardiovascular and cerebrovascular disease and diet control, smoking, often related to hypoglycemic attacks. Conclusion: Poor diet control, smoking history and frequent episodes of hypoglycaemia are risk factors for type 2 diabetes mellitus with cardiovascular and cerebrovascular diseases in elderly patients. Therefore, appropriate nursing measures should be actively taken.