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目的探讨老年糖尿病的管理,并对其慢性并发症进行临床分析,以利于老年糖尿病的治疗和并发症防治。方法选择198例住院老年糖尿病患者,测定系统管理前后FBG、餐后2h血糖(PBG)、血脂并进行糖尿病慢性合并症筛选及相关分析。结果老年糖尿病有其临床特征。老年糖尿病慢性合并症明显增高,分别为脑梗死、冠心病、高血压、高脂血症、糖尿病视网膜病变、糖尿病肾病、糖尿病周围神经病变和双下肢大动脉粥样硬化。结论重视老年糖尿病的管理,及时防治老年糖尿病并发症是十分重要的。
Objective To investigate the management of geriatric diabetes and to analyze its chronic complications in order to facilitate the treatment of diabetes mellitus and the prevention and treatment of complications. Methods A total of 198 hospitalized elderly patients with diabetes mellitus were enrolled in this study. FBG, 2h postprandial blood glucose (PBG) and blood lipid levels were measured before and after system management. The patients with chronic comorbid complications were screened and correlated. Results Elderly diabetes has its clinical features. Chronic comorbidities of diabetes mellitus were significantly increased in elderly patients, including cerebral infarction, coronary heart disease, hypertension, hyperlipidemia, diabetic retinopathy, diabetic nephropathy, diabetic peripheral neuropathy and large atherosclerosis in both lower extremities. Conclusion It is very important to pay attention to the management of elderly diabetes in order to prevent and treat the complications of elderly diabetes in time.