目的 分析老年2型糖尿病患者的风险因素,为早期防治糖尿病提供科学依据.方法 采用病例对照研究方法,选择我院收治的老年2型糖尿病患者196例,为病例组.同时随机选取本院因为消化、呼吸系统疾病收治的非糖尿病患者392例,为对照组.采用多因素分析和ROC曲线分析相结合的方法分析患者发生2型糖尿病的相关风险因素.结果 男性、肥胖、高血压、高胆固醇、高甘油三酯、水果摄入量少、糖尿病家族史是老年人群发生2型糖尿病的风险因素,其ROC曲线下面积分别是0.732、0.693、0.756、0.783、0.757、0.674、0.896.结论 针对老年人群发生2型糖尿病的风险因素,应开展相应的干预措施,防治结合,从而降低糖尿病患者的致死致残率.%Objective To analyze the risk factors of type 2 diabetes mellitus in elderly patients,and to provide scientific basis for early prevention and treatment of diabetes.Methods A case-control study was used.196 elderly patients with type 2 diabetes mellitus were enrolled into the case group and 392 non-diabetic patients with digestive or respiratory system diseases were randomly selected into the control group.Multivariate analysis and receiver operating characteristic curve were used to analyze the risk factors of type 2 diabetes mellitus.Results Male,obesity,hypertension,hypercholesterolemia,hypertriglyceridemia,little fruit intake,and family history of diabetes were the risk factors for type 2 diabetes mellitus in older population; the area under the curve was 0.732,0.693,0.756,0.783,0.757,0.674,and 0.896,respectively.Conclusions For the risk factors of type 2 diabetes mellitus in elderly population,corresponding intervention measures including prevention with control should be taken to reduce the mortality rate of type 2 diabetes mellitus in elder patients.
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