初诊青年2型糖尿病临床特点及危险因素分析(1)
摘要：目的 明確青年初诊2型糖尿病的临床特点并探讨相关危险因素，为预防高危因素青年人发生2型糖尿病提供理论依据。方法 选择我院内分泌科2017年1月～2018年3月住院的313例初诊2型糖尿病患者，以40岁为界将其分为青年组及非青年组，分析患者的临床特点及危险因素。结果 青年组男性构成率为75.76%，非青年组男性构成率为55.87%，两组性别构成率比较，差异有统计学意义(P<0.05);青年组收缩压(128.88±17.97)mmHg低于非青年组(137.47±19.44)mmHg，差异有统计学意义(P<0.05);青年组体重指数(26.02±4.80)kg/m2高于非青年组(24.52±3.41)kg/m2，差异具有统计学意义(P<0.05);青年组甘油三酯(3.62±3.44)mmol/L高于非青年组(2.87±3.35)mmol/L，差异有统计学意义(P<0.05);青年组高密度脂蛋白(1.03±0.35)mmol/L低于非青年组(1.14±0.37)mmol/L，差异有统计学意义(P<0.05)。初诊2型糖尿病为青年人的危险因素为性别(OR=2.07，95%CI：1.09～3.93，P<0.05)、BMI(OR=2.10，95%CI：1.14～3.18，P<0.05)及HDL-C(OR=1.98，95%CI：1.11～3.52，P<0.05)。结论 男性、超重及肥胖、低高密度脂蛋白是青年人发生2型糖尿病的危险因素。
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关键词：青年;2型糖尿病;体重指数;血脂;男性
中图分类号：R587.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.16.032
文章编号：1006-1959(2019)16-0102-03
Abstract：Objective To determine the clinical characteristics of newly diagnosed type 2 diabetes in young people and to explore related risk factors， so as to provide a theoretical basis for prevention of type 2 diabetes in young people with high risk factors.Methods 313 patients with newly diagnosed type 2 diabetes who were hospitalized from January 2017 to March 2018 in our hospital were divided into young and non-youth groups by age 40， and the clinical characteristics and risk factors were analyzed.Results The male composition rate was 75.76% in the youth group and 55.87% in the non-youth group. The gender composition rate was statistically significant (P<0.05). The young group systolic blood pressure (128.88±17.97) mmHg lower than the non-youth group (137.47±19.44) mmHg， the difference was statistically significant (P<0.05); the body mass index (26.02±4.80) kg/m2 in the young group was higher than that in the non-youth group (24.52±3.41) kg/m2， the difference was statistically significant (P<0.05); Triglyceride (3.62±3.44) mmol/L was higher than non-youth group (2.87±3.35) mmol/L， the difference was statistically significant (P<0.05); high density lipoprotein (1.03±0.35) mmol/L lower than the non-youth group (1.14±0.37) mmol/L， the difference was statistically significant (P<0.05). The risk factors for newly diagnosed type 2 diabetes were younger (OR=2.07， 95%CI： 1.09～3.93，P<0.05)， BMI (OR=2.10， 95%CI： 1.14～3.18，P<0.05) and HDL-C (OR=1.98，95%CI：1.11 to 3.52，P<0.05).Conclusion Male， overweight and obese， low-density lipoprotein is risk factor for developing type 2 diabetes in young adults., 百拇医药(赵萍)
, http://www.100md.com
关键词：青年;2型糖尿病;体重指数;血脂;男性
中图分类号：R587.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.16.032
文章编号：1006-1959(2019)16-0102-03
Abstract：Objective To determine the clinical characteristics of newly diagnosed type 2 diabetes in young people and to explore related risk factors， so as to provide a theoretical basis for prevention of type 2 diabetes in young people with high risk factors.Methods 313 patients with newly diagnosed type 2 diabetes who were hospitalized from January 2017 to March 2018 in our hospital were divided into young and non-youth groups by age 40， and the clinical characteristics and risk factors were analyzed.Results The male composition rate was 75.76% in the youth group and 55.87% in the non-youth group. The gender composition rate was statistically significant (P<0.05). The young group systolic blood pressure (128.88±17.97) mmHg lower than the non-youth group (137.47±19.44) mmHg， the difference was statistically significant (P<0.05); the body mass index (26.02±4.80) kg/m2 in the young group was higher than that in the non-youth group (24.52±3.41) kg/m2， the difference was statistically significant (P<0.05); Triglyceride (3.62±3.44) mmol/L was higher than non-youth group (2.87±3.35) mmol/L， the difference was statistically significant (P<0.05); high density lipoprotein (1.03±0.35) mmol/L lower than the non-youth group (1.14±0.37) mmol/L， the difference was statistically significant (P<0.05). The risk factors for newly diagnosed type 2 diabetes were younger (OR=2.07， 95%CI： 1.09～3.93，P<0.05)， BMI (OR=2.10， 95%CI： 1.14～3.18，P<0.05) and HDL-C (OR=1.98，95%CI：1.11 to 3.52，P<0.05).Conclusion Male， overweight and obese， low-density lipoprotein is risk factor for developing type 2 diabetes in young adults., 百拇医药(赵萍)