WHO曾预计全球至2030年糖尿病患者数将达到3.66亿，而据统计，我国糖尿病患者数量居全球第2位[1]。糖尿病（DM）属于临床常见代谢内分泌病，多发生于老年人，随着年龄的增高，其患病率也不断增大，据报道，60岁为糖尿病患病的高峰期[2]。众多研究表明，心血管疾病是糖尿病死亡的首要因素[3，4]，本文通过选取自2008年1月至2009年12月间于河源市人民医院死亡的糖尿病患者共39例进行回顾性分析，对以往文献内容作出印证，并进一步探讨造成糖尿病患者心血管死亡的主要因素，报道如下。
论著
老年糖尿病患者的心血管死亡因素分析
刘希宏
【摘要】 目的 探讨造成糖尿病患者心血管死亡的主要因素。方法 于病例收集前预先设计研究调查表，内容包括患者的一般情况、临床症状、主要疾病史前、各项检查结果、生化检测数据、入院及死亡诊断相关、造成死亡原因等，以便作为后期分析的书面材料。
【关键字】 老年糖尿病,心血管,死亡因素
中图分类号：R587.1文献标识码：B文章编号：1671-8194（2011）01-0008-02
Analysis of Cardiovascular Death Factors in Elderly Diabetic Patients
LIU Xi-hong
Department of Geriatrics, Heyuan People's Hospital, Heyuan 517000, China)
[Abstract] Objective To discuss the factors of Cardiovascular death in elderly diabetic patients. Methods To design the survey before case collection. The survey which was made for the materials for analysis included general condition, clinical symptoms, mainly prehistoric disease, the test results, biochemical test data, hospital admission and mortality diagnosis-related, resulting in the cause of death, etc. Results Cardiovascular disease was the primary factor of elderly diabetes deaths (33.33%). Blood glucose and blood pressure of all the patients were higher than normal. And some of them had hyperlipidemia or hyperinsulinemia. Conclusion Hypertension, hyperglycemia, hyperlipidemia and hyperinsulinemia may cause fatal cardiovascular events with death. Clinical treatment and care should fcontrol the blood glucose, blood pressure and lipid.