糖尿病和中风的并发症负担:在中国北京的一项回顾性研究
Linyan Huang1, Jiadong Zeng2, Ying Luo1
1Department of Endocrinology, Zhujiang Hospital, Southern Medical University, 253 Industrial Avenue, Guangzhou, Guangdong, 510280, China.
BMC public health
|February 10, 2025
概括
北京中风的糖尿病患者经历了更多的并发症,如高血压和冠状动脉疾病,导致更高的治疗费用和药物使用. 医疗保健系统必须解决这些复杂的需求.
科学领域:
- 公共卫生 公共卫生
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
背景情况:
- 中国的糖尿病管理面临挑战,原因是高成本和普遍的并发症,特别是心血管并发症.
- 脑卒中是糖尿病患者的重要并发症,增加了医疗保健负担.
研究的目的:
- 评估2016-2018年北京中风糖尿病患者的并发病情况.
- 评估这些并发症对治疗选择和相关医疗保健成本的影响.
主要方法:
- 用医疗保险门诊病人的记录在北京对糖尿病患者进行了回顾性队列研究.
- 在中风和非中风糖尿病患者组之间比较并发症,药物和治疗费用.
主要成果:
- 分析了超过280万名糖尿病患者,21.18%患有中风.
- 患有中风的糖尿病患者患高血压,冠状动脉疾病,血脂不良,慢性呼吸道疾病和骨质疏松症的比率显著更高 (p < 0.0001).
- 脑卒中和并发症大大增加了年度药物费用和糖尿病患者使用的各种药物.
结论:
- 医疗保健系统必须考虑糖尿病中风患者的并发症模式和医疗负担.
- 在这种患者群体中,对诊断和管理伴随疾病的需求越来越大.
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