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目的通过大规模的全国性调查以明确糖尿病(DM)患者的死亡原因。方法选择全国31省市自治区首府各一家三级甲等医院,回顾性收集所有1991—2005年住院患者中伴有DM的死亡患者病历,根据ICD-10确定根本死因。结果共有15个省市2895个病例。T1DM患者根本死亡原因的前五位为DM、心血管疾病(CVD)、呼吸系统疾病(RSD)、消化系统疾病(DSD)和意外事故;T2DM根本死亡原因的前七位分别为CVD、脑血管疾病(BVD)、肿瘤、DM、RSD、DSD和意外事故。结论心脑血管疾病、肿瘤和DM为DM患者的主要死亡原因。
Objective To determine the cause of death in patients with diabetes mellitus (DM) through a large national survey. Methods A total of three Grade A hospitals in each of the 31 provinces, autonomous regions and municipalities of China were retrospectively collected, and all the deaths of patients with DM in hospitalized patients from 1991 to 2005 were analyzed retrospectively. The essential cause of death was determined according to ICD-10. Results There were 2895 cases in 15 provinces and cities. The top five causes of death in patients with T1DM were DM, cardiovascular disease (CVD), respiratory disease (RSD), digestive system disease (DSD) and accidents. The top seven causes of T2DM were CVD, cerebrovascular Disease (BVD), Oncology, DM, RSD, DSD, and Accident. Conclusions Cardiovascular and cerebrovascular diseases, cancer and DM are the main causes of death in patients with DM.