老年糖尿病并发症与治疗关系调查及与中青年组比较

多学科协作完成１ ０６０ 例糖尿病并发症和合并症检查及治疗调查,比较和分析老年组和中青年组糖尿病并发症和合并症的特点和治疗顺从性。老年组视网膜病变（３９．１％ ）、肢体神经病变（５２．３％ ）、颅神经病变（６．６％ ）、下肢动脉病变（２８．９％ ）的检出率明显高于中青年组。两组心脏植物神经测试和尿白蛋白的异常无明显差异。老年组糖尿病治疗的顺从性和代谢异常的控制明显好于中青年组。说明对于中青年糖尿病患者更要注重糖尿病教育以提高这些患者的治疗顺从性,对于老年患者更需要加强以多学科协作为基础的糖尿病并发症筛查,以及时发现并治疗糖尿病并发症。     

老年糖尿病并发症与治疗关系调查及与中青年组比较

目的 比较和分析老年组和中青年组糖尿病并发症和合并症的检出率、饮食和药物治疗满意度。方法 采取预约、集中检查的方法，对糖尿病患进行糖尿病眼、肾、神经、心脏等并发症专科检查和有关代谢控制及饮食、药物治疗满意度调查．结果 老年组(492例)的视网膜病变(39．8%)、肢体神经病变(52．3％)、颅神经病变(6．6%)、下肢动脉病变(28．9％)的检出率明显高于中青年组(568例)。两组心脏植物神经测试和尿白蛋白的异常无明显差异。老年组糖尿病治疗的顺从性和代谢控制明显好于中青年组。结论 对于老年糖尿病患，要加强以多学科协作为基础的糖尿病并发症筛查．以及时发现并治疗糖尿病并发症。     

糖尿病慢性并发症的治疗

糖尿病慢性并发症，主要为大血管病变和微血管病变．可遍及全身各重要器官并与遗传易感性有关，无论1型或2型糖尿病，常伴有动脉粥样硬化性心脑血管疾患、糖尿病性肾病变、神经病变、代谢紊乱等。因此，其治疗原则主要为控制好血糖、血脂和血压等，同时也要应用各种药物对慢性并发症进行对症治疗。     

糖尿病并发症治疗药物的研究进展

糖尿病(DM)是终身性、慢性疾病,病程较长,以高血糖为病理特征.临床多通过生化检查、血尿常规检验和葡萄糖耐量试验等方式明确诊断,其治疗难度较高,多通过血糖控制方法阻断疾病进展.DM病因包括生活方式不良(饮食结构偏向高蛋白、高脂肪与高热量)、遗传因素(伴有家族病史)和年龄因素(年龄≥55岁).肥胖者和中老年人是DM的高危...     

重视结核病患者对治疗与护理的顺从性

患者的顺从性 (PatientCompliance)也称顺应性、服从性或合作性 ,即患者对医护人员制定出治疗和护理方案的遵守程度。在各种疾病的治疗护理中 ,普遍存在患者对治疗护理的不顺从。临床上结核病的治疗因疗程长 ,患者的不顺从性的问题更显突出 ,它可引起严重的后果 ,因此应引起医护人员的高度重视 ,采取积极措施 ,改善患者的不顺从性 ,这对疗程较长的患者治疗成功起决定性作用。以下简述患者不顺从性的主要表现 :( 1)对治疗方案的不顺从性 :结核病患者常因疗程长 ,在用药 1～ 2个月后临床症状减轻或改善甚至消失 ,以为痊愈而擅自停药。( 2 )对…     

关于老年糖尿病患者并发症的分析

目的分析老年糖尿病患者并发症的发生情况,以便采取相应的措施进行治疗。方法对我院2010年9月——2012年8月共收治的100例老年糖尿病患者的临床资料进行回顾性分析。结果在不同年龄组患者并发症发生情况比较中,P值均小于0.01,具有明显统计学差异,而且并发症的出现与患者年龄成正相关关系;在不同性别糖尿病患者并发症发生情况比较中,只有高血压与泌尿系感染具有明显统计学差异(P值均小于0.01),女性比男性高。结论老年糖尿病患者并发症的发生率较高,且与年龄一定的联系,病情复杂,医务人员及患者要及时发现,尽早进行治疗,减少患者的病痛,提高患者生命质量与存活率。     

老年糖尿病的特点与治疗

老年糖尿病在发病原因、临床表现、诊断治疗上有其与成年期糖尿病诸多不同特点，应引起病友们的关注。     

老年糖尿病的临床特征及饮食治疗

老年糖尿病中90％以上是2型糖尿病，饮食治疗是基础治疗方法，多数病人通过饮食与运动治疗便可很好地控制血糖，所以，加强对老年糖尿病患者临床特征的观察、饮食治疗及运动指导，具有特别重要的意义。     

糖尿病并发症的药茶治疗

1、糖尿病并发肺结核的茶疗肺结核是呼吸系统的一种特殊感染。随着结核病防治水平的提高，其发病率已明显下降。但糖尿病为常见病，故糖尿病并发肺结核者仍较为多见。据统计，糖尿病并发肺结核的发病率为非糖尿病肺结核的2～4倍。糖尿病并发肺结核者较单纯肺结核者病情严重，肺结核可进一步促使糖尿病代谢紊乱，而代谢紊乱又加重了肺结核，二者相互影响，形成恶性循环。     

480例2型糖尿病慢性并发症的调查分析

目的：了解2型糖尿病患者慢性并发症与年龄、病程、血糖的关系。方法：对患者按不同的年龄、病程、血糖分为3组分别进行统计分析。结果：2型糖尿病慢性并发症随者病程延长、年龄增长及血糖升高而呈上升趋势,此趋势在年龄40岁,病程5～10年,血糖≥10 mmol/L以上尤为明显。以高血压（HT）、糖尿病肾病（DN）、糖尿病视网膜病变（DR）发病率最高,分别为40.6%、30.83%、31.04%。在不同年龄组以高血压发病最早,≤30岁组为25%,冠心病（CHD）和脑血管病（CVD）上升速度最快,≥60岁组比≤39岁组分别增长5.5倍和4.5倍。在不同的病程组仍是高血压发病最高,≤5年时高达29%,以DN和下肢血管病变（PVD）上升最快,≥10年组比≤5年组增长分别为3.29倍和3.75倍。在不同的血糖组仍然是高血压发病率最高,≤10 mmol/L组已达到24%,以DN、DR上升最快,≥15.1 mmol/L比≤10 mmol/L组增长分别为3.13倍、3.5倍。结论：随着年龄的增加、病程增长、血糖的升高糖尿病慢性并发症的发生率也随之增长。     

Pharmacological treatment of diabetic neuropathy in the elderly

Diabetic neuropathy is the third most common complication of diabetes mellitus. When this neuropathy is accompanied by pain, it requires a specific treatment. In the elderly patient, the pain has an enormous impact on quality of life, as it is associated with anxiety, depression and sleep disorders, leading to a direct impact on the functionality of the patient. Likewise, there are a number of changes at the central and peripheral nervous system, which contribute to the chronicity of painful processes, and eventually also affect and impact on the quality of life of elderly patients. It is fundamental before initiating treatment, to know of all aspects related to drug pharmacokinetics and pharmacodynamics, especially those related to aging, because this will allow you to select the best drug for each patient. This article aims to review the pathophysiological concepts related to diabetic neuropathy in the elderly and the best treatment options.     

Anthropometric and dietary survey of elderly Chinese.

The study was conducted to provide reference values of anthropometry and dietary intakes of elderly Chinese aged greater than or equal to 70 years and to investigate differences between urban and rural groups. A total of 441 subjects comprising 260 urban elderly (126 men and 134 women) and 181 rural elderly (83 men and 98 women) participated in the anthropometric study. One hundred subjects (50 men and 50 women) from both urban and rural locations were selected randomly from the anthropometric cohort for dietary survey using the method of diet recall. For both men and women, the urban elderly had significantly higher intakes of protein, fat, calcium, iron, retinol, thiamin, riboflavin and nicotinic acid than did the rural elderly. Significant sexual differences were also observed: men had higher intakes of total energy and three macronutrients than women. Both regional and sexual differences in anthropometry (but not blood pressure) seemed to be consistent with the results of the dietary survey. Positive correlations were found between systolic blood pressure and the ratio waist:hip circumference for both men and women. As a marker of adipose tissue distribution, it seemed that this ratio was more predictive of high blood pressure than body-weight.     

胰岛素泵强化治疗对老年糖尿病合并感染控制的影响

目的 探讨胰岛素泵短期强化治疗老年糖尿病合并感染的疗效及安全性.方法 将77例老年糖尿病合并感染患者随机分为胰岛素泵持续皮下输注治疗组(CSII组)38例,及多次胰岛素皮下注射治疗组(MSII组)39例,比较两组患者治疗后血糖水平、血糖达标时间、胰岛素用量、感染控制时间,低血糖发生率、平均住院天数等的差异.结果 治疗后两组患者血糖均明显下降(P＜0.01),CSII组对血糖的控制优于MSII组,两组比较差异有统计学意义(P＜0.05或＜0.01);CSII组血糖达标时间、胰岛素用量、低血糖发生率、住院天数均低于MSII组,两组比较差异有统计学意义(P＜0.05或P＜0.01).结论 老年糖尿病合并感染患者应用胰岛素泵强化治疗可迅速控制血糖,缩短感染控制时间,缩短住院天数,减少低血糖的发生,安全有效,是理想的治疗方法.     

A survey of long-term care elderly patients in the South West Thames Region

This paper describes a survey which focuses on the patients in National Health Service long-term care beds. It examines the dependency levels and mental impairment of geriatric patients in 15 Departments of Geriatric Medicine, and determines the extent and distribution of patient dependency, including the number of independent patients. The findings support the view that there is a need for National Health Service long-term care beds.     

浅谈老年糖尿病患者的护理体会

糖尿病是一种常见的内分泌代谢障碍性疾病,时刻威胁着人们的健康.而老年糖尿病患者起病隐匿,病程长而缓慢.加强对老年糖尿病患者的护理,可有效改变患者的不良心理,树立战胜疾病的信心,积极预防并发症的发生,提高生活质量,延年益寿.我院对2006～2007年间收治的26例老年糖尿病患者实施有效治疗与护理,取得较好的效果.     

A winter survey of domestic heating among elderly patients.

Elderly people have a greater need for domestic heating given the time they spend at home and the decline in the body thermoregulation that occurs with ageing. The use of domestic heating by 200 mentally competent newly admitted elderly in patients was evaluated by means of a questionnaire survey. Most patients (69%) were aware of the addition of value added tax (VAT) to their fuel bill and 31% said they had reduced the amount of heating they use because of this. A third of patients (29.5%) said they had difficulty keeping warm prior to this admission. The majority of patients said they could not manage to keep warm in the winter without financial hardship. In addition, 29% said they had reduced the amount spent on food in order to pay for fuel bills. This study suggests that cold may contribute to hospital admissions in elderly patients. This should have implications for government spending and taxation policy on domestic heating.     

预先指示态度问卷的汉化及其在老年晚期肿瘤患者中的信效度研究

目的 引进预先指示态度问卷并进行翻译及初步的信效度检验.方法 采用Brislin翻译模式对预先指示态度问卷进行翻译,并通过专家评议及预调查对翻译初稿进行文化调适.以某肿瘤医院213名老年晚期肿瘤住院患者为研究对象进行调查,评价量表的信度和效度.结果 汉化版预先指示态度问卷共13个条目.探索性因子分析提取3个公因子,累积...