| Objective:By shandong province hospital ember electronic medical record system in 996 cases of hospitalized elderly patients with type 2 diabetes were retrospectively analyzed,using the SPSS 26.0,SPSS 12.0 statistical software Clementine,statistical analysis of the patient’s general information,general life state,TCM syndrome types,diagnosis,hospital expenses and laboratory indexes,thus understand the hospitalized elderly patients with type 2 diabetes distribution characteristics of TCM syndrome types,analysis of the patient’s general state of life as well as the distribution of complications,the factors influencing hospital economic cost,it provides help to control the condition of type 2 diabetes in the elderly,delay the progress of complications,reduce the burden of health and economy,and improve the quality of life.Methods:Into the research object of this study is from March 2016 to February 2019 in shandong province hospital of geriatrics hospitalized patients in the diagnosis and treatment of elderly patients with type 2 diabetes(age 60 or higher),using the ember electronic medical record system,statistical state of the patient’s general information,general life(food,sleep,urine),TCM syndrome types,the hospital diagnosis,hospitalization expenses and laboratory indexes(glycated hemoglobin,blood lipid,D-dimer,thyroid stimulating hormone,hospitalization and biochemical indexes,etc.),SPSS 26.0 and SPSS Clementine 12.0 statistical software were used for data analysis and processing.Results:(1)A total of 2,374 hospitalized elderly patients(age ≥60 years)were included in this study,including 996 patients with type 2 diabetes mellitus(T2DM),accounting for about 41.95%of hospitalized elderly patients.(2)General data analysis of elderly patients with type 2 diabetes:gender distribution,male patients(518 cases)more than female patients(478 cases),female:male≈1:1.08;Age distribution:the age distribution of patients in this study ranged from 60 years old to 97 years old,with an average age of 79.17±8.86 years old.The average course of disease was 11.60±9.06 years.The number of patients with type 2 diabetes≤9 years(449 cases)was the highest,and the number of patients with disease duration≥40 years(10 cases)was the lowest.(3)General life status analysis:586 patients(58.84%)received sleeping pills,and 410 patients(41.16%)did not.There were 541(54.32%)patients with laxative drugs and 455(45.68%)patients without laxative drugs.There were 108 cases(10.84%)of nasal feeding patients and 888 cases(89.16%)of non-nasal feeding patients.There were 87(8.73%)indwelling catheter patients and 909(91.27%)non-indwelling catheter patients.(4)Distribution of TCM syndromes:qi deficiency and blood stasis syndrome(254 cases in frequency)was the most common,followed by phlegm and blood stasis syndrome(129 cases in frequency),followed by qi and Yin deficiency syndrome(116 cases in frequency),accounting for 25.50%,12.95%and 11.65%respectively.In terms of gender distribution,women(134 cases,59 cases)were more than men(120 cases,57 cases)in patients with qi deficiency and blood stasis syndrome and qi and Yin deficiency syndrome.phlegm and blood stasis syndrome was more common in males(75 cases)than females(54 cases).The number of complications diagnosed of the three syndromes was statistically significant(P<0.05),the number of complications diagnosed in phlegm stasis blocking collaterals>the number of complications diagnosed in qi deficiency and blood stasis>the number of complications diagnosed inqi and yin deficiency.(5)Diagnosis distribution:the average number of diagnoses was 8.84±3.13,with the highest number of patients(593 cases)with the number of diagnoses ranging from 6 to 10,and the lowest number of patients(23 cases)with the number of diagnoses≥16.In the analysis of complications,the frequency of combining 6-10 diagnoses(542 cases,54.42%)was the highest,and the frequency of combining≥16 diagnoses(9 cases,0.90%)was the lowest.The highest frequency of hypertension was 800(80.32%),followed by ischemic cerebrovascular disease with 724(72.69%),and coronary heart disease with 711(71.39%).The diagnostic frequency of diabetic nephropathy was 258 cases(25.90%).The frequency of diagnosis of arteriosclerosis obliterans in lower extremity was 219 cases(21.99%).(6)Correlation between hospitalization expenses and complications:there was a correlation between hospitalization expenses and the number of complications of hospitalized elderly patients with type 2 diabetes,and the correlation was 12.6%.(7)Comparison with the laboratory indexes of hospitalized non-elderly patients with type 2 diabetes:hospitalized elderly patients with type 2 diabetes group of fasting blood glucose(FBG),urinary inhibition glycated hemoglobin(HbA1c),C(Cys-C),retinol binding protein(RBP),triglyceride(TG),D-dimer(D-dimer),thyroid stimulating hormone(TSH)levels higher than non-diabetic group;Total cholesterol(TC),homocysteine(HCY)and high-density lipoprotein(HDL)were lower than those in the non-diabetic group.There was no statistically significant difference in creatinine(Cr),uric acid(UA),total protein(TP),albumin(ALB)and low density lipoprotein(LDL)(P>0.05).Conclusion:(1)Hospitalized elderly patients with type 2 diabetes mellitus(T2DM)have a high hospitalization rate,and male patients are more than female patients.The average age is older,and the duration of diabetes is mainly≤9 years.(2)The general living conditions of hospitalized elderly patients with T2DM are poor and their quality of life is low.(3)Among the TCM syndromes of hospitalized elderly T2DM patients,the syndrome of qi deficiency and blood stasis was the most common,followed by the syndrome of phlegm and blood stasis blocking collaterals,followed by the syndrome of qi and Yin deficiency.the number of complications diagnosed and syndrome of TCM:the number of complications diagnosed in phlegm stasis blocking collaterals>the number of complications diagnosed in qi deficiency and blood stasis>the number of complications diagnosed inqi and yin deficiency.(4)The proportion of hospitalized elderly patients with T2DM complicated with cardiovascular and cerebrovascular diseases is high(5)The more complications of hospitalized elderly patients with T2DM,the higher the hospitalization cost.(6)It pays attention to the auxiliary role of experimental indicators such as homocysteine,total cholesterol,cystatin C,retinol binding protein,triglyceride,high-density lipoprotein,plasma d-dimer and thyrotropin in the diagnosis of type 2 diabetes in the elderly. |
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