Study On Disease Spectrum And Blood Glucose Standard Rate Of Inpatients In Endocrinology Department Of A Hospital In Xinjiang

Objective:(1)To analyze the composition and trend of disease spectrum of inpatients in 2014-2019,so as to better understand the proportion of diseases.(2)To select some patients with type 2 diabetes mellitus,analyze the relevant clinical indicators,get the HbA1 c standard rate of patients,understand the situation of blood glucose control and some influencing factors.Methods:(1)The inpatient information of endocrine department in our hospital for 6 years was analyzed retrospectively,and the diseases were classified and counted.(2)To collect the general situation of some type 2 diabetic patients and HbA1 c,fasting blood glucose,course of disease,treatment plan,complications,etc.measured on the first day of hospitalization,and analyze the status of blood glucose reaching the standard and related influencing factors.Results:(1)From 2014 to 2019,the total number of people admitted to the Department of endocrinology in our hospital increased significantly.Among them,type 2 diabetes accounted for the highest proportion.Hyperthyroidism and type 1 diabetes also account for a high proportion.(2)Metformin is the most commonly used antidiabetic drug in diabetic patients,which is consistent with the guidelines.The utilization rate of SGLT2,a new type of antidiabetic drug,shows an increasing trend.Due to the relatively remote area and the lack of introduction of such new drugs by our hospital,the utilization rate is relatively low.(3)This study shows that the diagnosis age of male patients with diabetes is slightly lower than that of female patients.(4)The medication plan of diabetic patients changed from simple and single to complex.Fasting blood glucose and glycosylated hemoglobin increased gradually,and the course of disease also increased.(5)The level of blood glucose and glycosylated hemoglobin in the patients using insulin was higher than that in the patients withoutinsulin,the blood glucose was difficult to reach the standard,and the incidence of complications was higher than that in the patients without insulin.(6)The longer the course of disease,the higher the HbA1 c level and the lower the blood glucose standard rate.Conclusion:(1)Type 2 diabetes is still the main disease in the Department of endocrinology in our hospital,but many endocrine related diseases coexist.(2)The HbA1 c standard rate of type 2 diabetic inpatients is low,and it is related to many factors.