254例糖尿病患者的死因分析

目的分析糖尿病(DM)死亡原因,为防治提供依据。方法回顾性分析西安交通大学医学院第一、二附属医院自1991年1月1日至2003年12月31日期间住院的DM死亡病例。结果13年两院DM死亡254例,占住院总死亡人数3.2%;死因依次为:慢性并发症42.5%(心脑血管病28.3%,肾病14.2%),肿瘤20.1%,感染11.4%,急性并发症6.7%,肝硬化6.3%;慢性并发症死因中合并高血压66.7%(72/108)。结论慢性并发症已成为DM的主要死因,其中心脑血管病变是最重要的,高血压是增加其死亡率的主要危险因素。因此,严格控制血糖和血压,对降低DM心脑血管病变的病死率有重要意义。

Study of death cause of the 254 patients with diabetes

Objective To understand causes of death of diabetic inpatients and provide evidence for diabetic prevention and control. Methods Analysis of the death causes was carried out in the dead cases of diabetic inpatients in the First and Second Affiliated Hospital of Medical School,Xi'an Jiaotong University from 1991 to 2003.Results Numbers of dead diabetic inpatients of the two hospitals were 254,which accounted for 3.2% of the total dead inpatients;the main death causes of diabetic inpatients were diabetic chronic complications,taking up to 42.5% of all the causes(28.3% of cerebro-cardiovascular and 14.2% of diabetic renalfailure),tumor((20.1%)),infection(11.4%),acute complications(6.7%) amd hepaticcirrhosis(6.3%);in vascular complications,72 cases with hypertension(66.7%).Conclusion The chronic complications have been the main death cause of diabetes,and cerebro-cardiovascular diseases are most important death cause;Hypertension is the main risk factor which increases the mortality of diabetic vascular diseases.Therefore,strict control of both blood sugar and blood pressure is very important in decreasing the mortality of diabetic cerebro-cardiovascular diseases.