摘要
Abstract
Objective To analyze the comorbidity status and related influencing factors in elderly patients with type 2 diabetes mellitus(T2DM),and provide new ideas for health management of these patients.Methods A retrospective study included 260 elderly T2DM patients hospitalized in Beijing Chaoyang Hospital Affiliated to Capital Medical University from De-cember 2022 to December 2024.Their clinical data were recorded and the comorbidity rate was analyzed.Univariate and binary Logistic regression analyses were performed to identify the related factors influencing comorbidities in these patients.Results Among 260 T2DM patients,158 ones had other chronic diseases,and the comorbidity rate was 60.77％(158/260).Among them,95 ones were combined with one other chronic disease,and the comorbidity rate was 36.54％(95/260);63 ones were combined with two or more other chronic diseases,and the comorbidity rate was 24.23％(63/260).No statistically significant differences were observed between patients with single T2DM and patients with other comorbidities in gender,drinking history,body mass index(BMI),family history,residence pattern,and the levels of serum triglycerides(TG),total cholesterol(TC),low-density lipoprotein cholesterol(LDL-C),fasting plasma glucose(FPG),2 h postprandial blood glucose(2hPG),glycated hemoglobin(HbA1c),C-peptide and insulin resistance index(HOMA-IR)(P＞0.05).There were statistically sig-nificant differences between patients with single T2DM and patients with other comorbidities in age,duration of diabetes,smoking history,frequency of child visits,frequency of going out,blood pressure,levels of serum high-density lipoprotein cholesterol(HDL-C),serum creatinine(Scr),and uric acid(UA)(P＜0.05).Binary Logistic regression analysis showed that advanced age,long course of diabetes and smoking history were the influencing factors for the comorbidity in elderly T2DM patients,and high frequency of child visits and high frequency of going out were the protective factors for the comorbidi-ty(P＜0.05).Conclusion The comorbidity rate of elderly T2DM patients is relatively high.Advanced age,long duration of diabetes and history of smoking may be influencing factors for comorbidity in elderly T2DM patients,while high frequency of visits by children and high frequency of going out may reduce the risk of comorbidity.关键词
老年/糖尿病/共病/影响因素/预防措施Key words
elderly/diabetes mellitus/comorbidity/influencing factor/preventive measure
