糖尿病患者

Accompanied with the long course of diabetes, the chanciness of macroangiopathy was increasing.type 2 diabetes mellitus, high blood pressure, macroangiopathy

2型糖尿病合并高血压患者大血管病变与糖尿病病程有关，糖尿病病程越长则发生大血管病变的危险性增加。

When admitted, UREMIA group included 9 cases with end stage renal disease and 5 cases with GFR level between 10～20ml/min, CRF group had 23 cases with GFR level between 20～50ml/min and CRI group had only 3 patients with GFR above 50ml/min. Age、sex、proteinuria、 prevalence of blood hypertension, diabetes and coronary heart disease were all matchable within groups, while hemoglobin level and length of kidney were much lower in uremia group.

各组患者的年龄、性别、蛋白尿程度、高血压和并发冠心病、糖尿病的情况均无不同，但尿毒症组患者的贫血较重、肾脏体积较小；处于肾功能失代偿期的CRF组患者也出现轻度贫血，其程度与GFR下降程度显著相关（R=0.476，P＜0.05）；就诊较早的患者肾功能相对较好。

The current diˉagnosis of diabetes in elderly use the American Diabetes Association criteria for diagnosis of diabetes,and use insulin or oral diabetes to medicines control hyperglycemia,Internal fixation of intertrochanteric fracture of femur is performed by dynamic hip screwor"γ"screw.

目的 探讨老年人糖尿病与髋部骨折发生的关系方法回顾分析1999年2月～2003年4月收治的女性髋部骨折患者338例，年龄65～85岁，平均（74.3±4.3）岁，采用美国糖尿病协会标准诊断糖尿病，口服降糖药或胰岛素注射控制血糖，DHS、&γ&钉内固定粗隆间骨折，人工髋关节置换术治疗股骨颈骨折。

Patients had alien hand syndrome (11%), 17 patients had history of hypertention (54.83%) 16 patients had coronary artery heart disease (51.61%), 10 patients had diabetes mellitus (32.25%), 9 patients had history of cerebral infarction (29.03%), 17 patients had disorders of conciousness and mental (54.83%), 18 patients had language disorder (58.1%), 21 patients had disorders of limbs in different degrees (74.19%). MRI imaging of 22 patients showed previous cerebral infarction focuses (70.96%), 16 patients with leukoaraiosis (61%), 9 patients with angiostenosis (29%), stenosis was over 60% in 6 patients, and 7 patients showed cerebral microbleeding (22.58%). There were 34 focus of copus callusum infarctions in 31 patients.

异手综合征者3例(11%)，高血压病史17例(54.83%)，冠心病16例(51.61%)，糖尿病10例(32.25%)，脑梗死史者9例(29.03%)，神志和精神异常的17例(54.83%)，语言障碍的患者18例(58.1%)，21例(74.19%)患者有不同程度肢体运动障碍。31例胼胝体梗死患者，共34处胼胝体梗死病灶，胼胝体梗死的患者合并其它部位陈旧性梗死灶22例(70.96%)，伴有白质稀疏16例(61%)，发现血管狭窄9例（29%，其中狭窄超过60%者6例），有7例(22.58%)伴有微出血。

Objective To explore the clinical significance between plasma levels of high-sensitive C reactive protein and atherosclerosis in patients with essential hypertension.Methods By measuring hs-CRP,endothelin,homocysteine,lipid and caroid artery echocardiography,ninety patients were divided into three groups equally,among them,the first group suffered 1-2 degree essential hypertension;the second group suffered 3 degree essential hypertension;excluding hypertension,coronary heart disease,diabetes,infections disease and tumour,control group as a third group was analyzed.

目的 对不同程度的原发性高血压患者进行血浆高敏C-反应蛋白（C-reactive protein，CRP）检测，探讨超敏C-反应蛋白在动脉粥样硬化疾病中的临床意义方法对30例1～2级原发性高血压患者(第1组)和30例3级原发性高血压患者(第2组)进行hs-CRP、内皮素、同型半胱氨酸和血脂检测、颈动脉超声检查，与除外原发性高血压、冠心病、糖尿病以及各感染、肿瘤患者进行比较分析。

Methods 68 cases of hepatogenous diabetes were examined of history tests for clinical feature and method of treatment.

目的 探讨肝硬化合并肝源性糖尿病临床特点方法对肝源性糖尿病68例患者临床表现特点、糖尿病病情与肝功能分级的关系、胰岛素抵抗与肝功能分级的关系、治疗方法进行回顾性分析。

Methods Urinary endothelin excretion was determined by redioimmunoassay in 30 diabetic, 28 incipient diabetic nephropathic and 25 diabetic nephropathic patients, and in 52 normal subjects who served as control.

以放免法直接检测52例正常人、30例糖尿病、28例早期糖尿病肾病和25例糖尿病肾病患者UET排量。

Methods Patients with diabetic foot gangrene lesions who visited to Yanbian University Hospital and Changchun University of TCM from October,2004 to February,2007 and eliminate patients who complicating with to double heart and renal inadequacy,myocardial infarction,nephros duty depletion,asthma,pulmonary infection,advanced stage malignant tumor,et al and DF above grade 3 to deliver surgery,which were divided into treatment group （n=32） and control group （n=27） by random sampling.

将2004年10月～2006年2月，来自延边大学附属医院中西医结合科及延边中西医结合医院的门诊及诊疗区就诊和收治的糖尿病并发糖尿病足的患者，合并重度心、肾功能不全、心肌梗死、肾衰竭、哮喘、肺部感染，恶性肿瘤晚期等排除观察范围；糖尿病足3级以上送至外科就诊，按随机数字表分为针刺治疗组32例和对照治疗组27例。

Objective To approach the therapeutic effectiveness of early intervening treatment of diabetic footwith ciwujia injection and decoagulant.Methods 100 diabetes mellitus with early pedopathy was divided into treatment group and controlled group with the ADA diagnostic criteria in 1997. 50 patients of the treatment group were subjected to intervening treatment with ciwujia injection and peroral decoagulant(persantine、enteric-coated aspirin), while 50patients of the control group received peroral VitB1、VitB6、complexdanshen.

目的 观察刺五加注射液及抗凝剂对糖尿病足早期干预治疗的影响方法将符合1999年WHO诊断标准的100例糖尿病合并早期足病变的患者分两组：干预治疗组50例，对照组50例，在控制血糖、血压、糖尿病教育的基础上，干预组予以静滴刺五加注射液及口服抗凝剂治疗，对照组为口服VitB1、VitB6、复方丹参片治疗。

Methods According to the clinical targets recommended by Asian-Pacific Type 2 Diabetes Policy Group, we calculated the success rates of blood glucose, lipid profile, blood pressure and body mass index of patients who hospitalized in our department for more than one year(group A, n=7356), and compared these results with the corresponding rates calculated based on the earlier database (group B, n=1084). The success rates of metabolic indexes of patients who insisted on hospitalizing monthly (group C, n=1367) were calculated. Besides, the factors influencing disease control were discussed through questionnaire.

按照2002年亚太地区T2DM政策小组推荐的控制目标值，计算内分泌科糖尿病数据库中在库1年以上T2DM患者（A组，n=7356）、建库初期患者（B组，n=1084）以及坚持每月随访患者（C组，n=1367）的血糖、血脂、血压及体质量指数的控制达标率，并进行统计学分析比较；同时抽取其中部分患者进行问卷调查，了解影响患者病情控制的相关因素。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。