许家艳

[摘要] 目的 研究观察老年糖尿病患者终点事件急诊分布的情况以及相关的救治策略。方法 从2014年4月—2016年4月该院收治的老年糖尿病病患中随机选取300例作为研究对象，按照病患入院的年份进行分组。其中从2014年4月—2015年3月入院的病患为组1，从2015年4月—2016年4月入院的病患为组2。对两组病患的诊断资料和结果进行回顾性分析，观察其终点事件的种数以及所占百分比的情况，并对各项终点事件采取相关的治疗措施。结果 经过回顾对比发现，两组病患中出现脑血管疾病所占的比率为23.5%，出现肾功能不全的比率为21.5%，出现心血管病的比率为20.3%，出现视网膜病变的比率为18.7%，出现糖尿病足的比率为16.0%。 结论 在老年糖尿病患者终点事件的急诊分布情况中，所占比率最大的是脑血管疾病，其次是肾功能不全，接着是心血管病，剩下的是视网膜病变和糖尿病足。在临床的治疗中要根据病患呈现的不同终点事件采取相应的措施进行对症治疗。

[关键词] 老年糖尿病病患；终点事件；急诊分布

[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062（2016）12（b）-0100-02

[Abstract] Objective To research the emergency distribution and treatment strategies of outcome event of senile patients with diabetes. Methods 300 cases of senile patients with diabetes admitted and treated in our hospital from April 2014 to April 2016 were selected as the research objects and randomly divided into two groups according to the admission time， the group 1 were the patients from April 2014 to March 2015， while the group 2 were the patients from April 2015 to April 2016， and the diagnosis data and results of the two groups were retrospectively analyzed， and the kinds of outcome event and ratio were observed， and the various outcome events were given the related treatment measures. Results After the retrospective comparison showed that the ratio of cerebrovascular disorder was 23.5%， renal inadequacy was 21.5%， angiocardiopathy was 20.3%， retina lesions was 18.7% and diabetic foot was 16.0%. Conclusion In the emergency distribution of outcome event of senile patients with diabetes， the ratio of cerebrovascular disorder is the highest， and the second is renal inadequacy， and then the angiocardiopathy， retina lesions and diabetic foot， in clinical treatment， we should adopt the corresponding measures for treatment according to the different outcome events of patients.

[Key words] Senile patients with diabetes； Outcome event； Emergency distribution

糖尿病是一種代谢性疾病，是由于胰岛素分泌出现缺陷或者是胰岛素的作用受到障碍造成高血糖而引起的[1]。由于病患身体出现持续的高血糖现象以及长期的代谢絮乱问题，会造成身体的多个组织器官，尤其是眼部，肾脏、神经系统以及心血管等发生功能性障碍和衰竭，因此糖尿病病患在临床的诊断中会出现多种终点事件。糖尿病病患多以老年人居多，因此该文研究观察了老年糖尿病患者终点事件急诊分布的情况以及相关的救治策略，现报道如下。……