Objective To investigate complications, mortality rates and current treatment status of T2DM patients in our community in the last ten years in order to provide an effective strategy for the management of T2DM patients and other chronic diseases in community health services. Methods The National Diabetes Epidemiology Questionnaire was used to study 181 T2DM patients diagnosed by the community health service center of Phoenix Hill Community in Lion Mountain Country of Tongling City in January 2001. The patients were then followed up to observe their chronic complications, accompanying diseases, mortality rate and treatment, and they were re - studied in July 2011. The results of the two studies were compared. Results ( 1 ) 27 cases out of the 181 T2DM patients died during the ten years with a mortality rate of 14. 92%. ( 2 ) 47 cases ( 25. 97% ) had macrovascular complications and 19 cases ( 10. 50% ) had microvascular complications in 2001; while 87 cases ( 56. 49% ) had macrovascular complications and 42 cases ( 27. 27% ) had microvascular complications in 2011. The difference between the two was statistically significant (χ2 =31. 072, P 0. 05 ). (4) The proportion of medicine treatment, diet treatment and exercise treatment between 2011 and 2001 all showed statistically significant differences ( P 于2001年1月对铜陵市狮子山区凤凰山社区已确诊的2型糖尿病患者181例进行调查,随后进行跟踪研究,观察其慢性并发症、合并症、死亡及治疗情况,于2011年7月再次进行调查,对比分析两次的调查结果.结果 (1) 181例2型糖尿病患者中10年间共死亡27例,病死率为14.92%.(2)2001年调查时有大血管并发症者 47例(25.97%),微血管并发症者19例(10.50%);2011年调查时有大血管并发症者87例(56.49%),微血管并发症者42例(27.27%),二者比较差异均有统计学意义(χ2=31.072,P0.05).(4)2011年患者的药物治疗率、饮食治疗率及运动治疗率与2001年比较,差异均有统计学意义(P<0.005).结论 糖尿病是一种慢性进展性疾病,虽然患者的治疗率明显提高,但10年间大血管并发症、微血管并发症及合并症均明显增多.控制好血糖、血压、血脂及减少和延缓糖尿病并发症的发生、发展仍是研究的方向和任务.
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