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目的:分析糖尿病肾病(DN)患者的直接死亡原因与临床资料,探讨如何早期防治DN,延缓疾病进展。方法:采用回顾性分析方法,抽取我院2003年1月至2008年12月所有死亡DN患者住院病历为原始资料进行分析。结果:抽取的149例死亡DN患者中,直接死亡原因主要为心血管事件(24.16%)、多器官功能衰竭(23.49%)、感染(22.15%)、脑血管事件(10.74%)、肾功能不全(6.71%)。结论:对于DN的治疗,除积极控制血糖、血压、血脂外,还应重视对各种并发症和终点事件的预防,以改善患者生存质量,延缓疾病进展,降低死亡率。
Objective: To analyze the direct cause of death and clinical data of patients with diabetic nephropathy (DN) and to explore how to prevent and treat DN early and delay the progression of the disease. Methods: The retrospective analysis method was used to analyze the hospital records of all death DN patients from January 2003 to December 2008 in our hospital. Results: Of the 149 death DN patients, the direct causes of death were cardiovascular events (24.16%), multiple organ failure (23.49%), infections (22.15%), cerebrovascular events (10.74%), renal insufficiency (6.71%). Conclusion: In addition to the positive control of blood glucose, blood pressure and blood lipids, DN treatment should pay attention to the prevention of various complications and end points to improve the quality of life of patients, delay the disease progression and reduce the mortality rate.