| Background and ObjectiveDiabetes mellitus, characterized by higher blood sugar, is a chronic, systemic metabolic disease, which is plaguing the health of the human being. According to the international diabetes federation (IDF) statistics, in1990s, the number of global diabetes was only about100million, however, by2007, the figure had rapidly increased to246million. It is expected that by2025, there will be380million persons plagued by diabetes. Diabetes has lots of complications or comorbidities, which can cause a series of chronic progressive diseases, related to heart, brain, kidneys, eyes, nerves, blood vessels and other organizations. In the serious condition, diabetes can cause ketoacidosis and hyperosmolar coma, which seriously affect peoples’quality of life, health and safety. The onset age of diabetes is younger than before at present. The typical symptoms such as polyuria, polydipsia, polyphagia and weight loss are hidden in some patients, which can lead to the diagnosis and treatment of diabetes more difficulty and delayed. Diabetic patients are widely distributed in different sections of hospital, so it is very important to standardize the diagnosis and treatment of diabetes.This retrospective analysis the clinical data of the212cases of diabetic patients, who were distributed in endocrinology, cardiology, neurology, ophthalmology, nephrology and cadres’ward, aimed to realize the basic information (the current age, age of onset and the main symptoms) and clinical situation of the diabetic patients in different departments, to comprehend the present situation of screening and treatment of diabetes and its complications, to analyzed the economic costs of diabetes in hospital, in order to strengthen the understanding of the diabetes, to improve the earlier recognition and proper treatment rate of diabetes and in screening the complication and parallel-related disease of diabetes in earlier times.Subjects and MethodsThe data of the212cases in-hospital diabetes patients discharged in November2010from the endocrinology, cardiology, neurology, ophthalmology, nephrology and cadres’ward, were analyzed retrospectively. By the form of registration, we registered the basic information of diabetic patients, including the patients’name, age, sex, length of stay, main symptoms and signs, blood examination, glucose tolerance test, fundus examination, color doppler ultrasound examination, diagnosis, drug using, economic cost and so on. The data were analyzed by the software of SPSS17.Results1.The diabetes onset rate was significantly increased after age of40;2.The rate of diabetes with hypertension, coronary heart disease is higher, respectively accounted for67.5%,59.0%than other complications;3.The ratio of patients with diabetes, discharged from the departments of cardiology, neurology, nephrology and cadres’ward, were93.6%,19.9%,25.7%,18.8%,20.0%,31.5%;4.OGTT (11.8%) and pancreatic islet β-cell function determination (17.9%) were fewer, relevant examination of diabetic complications was less, especially the examination of eye (32.1%) and large arteries of lower limb (31.1%);5.The rates of insulin application (58.5%) was higher among the hypoglycemic agents;6.The rate of drug application to improve circulation was88.7%;7.The median cost of hospitalization of diabetic patients was￥9342.0(QR=￥7337), drug charges occupied52.3%of the total cost.Conclusions1.The incidence of diabetes, complications and economic costs in hospital were similar with the trend of the epidemiological large-scale investigation;2.The screening rate of diabetes complications or parallel-related diseases was lower in endocrinology, especially in other departments. Therefore we still need to strengthen the cognition of diabetes and its complications among the those sections;... |
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