İnönü Üniversitesi Tıp Fakültesi Turgut Özal Tıp Merkezi Diyabet Polikliniğinde 1996 - 1998 Yılları Arasında Gerçekleştirilen Hasta Tarama Sonuçları
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Tarih
1999
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Turgut Özal Tıp Merkezi Dergisi
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Özet
İnönü Üniversitesi Tıp Fakültesi, Turgut Özai Tıp Merkezi Diyabet polikliniğine, son iki yıl içerisinde başvuran 871 hasta tanımlayıcı olarak değerlendirildi. Hastalardan %37'si erkek, %63'ü kadın olup, yaş ortalaması erkeklerde 51.2 ± 20.9 yıl, kadınlarda 52.8 ± 21.2 yıldır. Hastaların 35'i Tip 1 (%4), 836'sı Tip 2 (%96) diyabetlidir. Tip 1 diyabetli hastaların ortalama hastalık süreleri 9.88 ± 8.67 yıl, Tip 2 diyabetli hastaların ortalama hastalık süreleri ise 7.07± 6.14 yıldır. Tip 2 diyabetli hastalardan %16'sı diyet, %13.3' ü insülin ve %70.7'si ise oral antidiyabetik ilaçlarla tedavi edilmekteydiler. Hastaların vücut kütle indeksi ortalamaları, erkeklerde 25.8 ± 8.7, kadınlarda ise 28.9 ± 10.6 dır. Tıp 2 diyabetli hastalarda görülebilen, diyabetin geç komplikasyonları araştırıldığında, retinopati %66.6, nöropati %28.6, mikroalbüminüri %16.1, makroaibüminüri %7A ve ateroskierotik değişiklikler açısından hipertansiyon %40.4, hiperko/esterolemi %40.7 ve hipertrigliseridemi %36.2 oranlarında saptanmıştır. Diyetle tedavi edilenlerin %7.1'inde nöropati, %14.3’ünde mikroalbüminüri, %4.3'ünde makroaibüminüri ve %11.2'sinde retinopati; Orai antidiyabetik ilaçlarla tedavi edilenlerin %16.3'ünde nöropati, %18.1'inde mikroalbüminüri, %8.2'sinde makroaibüminüri ve %59'unda retinopati; İnsülin He tedavi edilenlerin %21.2'sinde nöropati, %7.7'sinde mikroalbüminüri, %7.7'sinde makroaibüminüri ve %63'ünde retinopati saptanmıştır. Bu veriler önümüzdeki yıllarda yapılacak hasta takiplerinin daha düzenli ve daha sistematik olması için bize yol gösterici olacaktır.
Eight hundred and seventy-one patients admitted to the diabetes dinic of Turgut Özal Medicai Çenter, İnönü University for the /ast two years were ana/yzed retrospectiveiy. Thirty- seven per cent of the patients were male and 63% were female. The average age was 51.2 ± 20.9 years in ma/es and 52.8 ± 21.2 years in femaies. There were 35 (4%) type 1 and 836 (96%) type 2 diabetic patients. The average diabetes period in type 1 and type 2 diabetic patients were 9.88 ± 8.67 years and 7.07 ± 6.14 years, respectiveiy. Type 2 diabetic patients were treated with diet (16%), insülin (13.3%), and orai antidiabetic drugs (70.7%). The average body mass index was 25.8 ± 8.7 in ma/es and 28.9 ± 10.6 in femaies. The late compiication rates were determined as 66.6% for retinopathy 28.6% for neuropathy, 16.1% for microalbuminuria, and 7.4% for macroaibuminuria. The rates of the atherosderosis- related changes were 40.4% for hypertension, 40.7% for hypercholesterolemia, and 36.2% for hypertriglyceridemia. In patients treated with diet, there were 7.1% of neuropathy, 14.3 % of microalbuminuria, 4.3% of macroaibuminuria, and 11.2% of retinopathy. In patients treated with orai antidiabetic drugs, there were 16.3% of neuropathy, 18.1% of microalbuminuria, 8.2% of macroaibuminuria, and 59% of retinopathy. Patients with insülin treatment had results as 21.2% of neuropathy, 7.7% of microalbuminuria, 7.7% of macroaibuminuria, and 63% of retinopathy. These data will be a guide for the regular and systematic follow-up of patients in the future.
Eight hundred and seventy-one patients admitted to the diabetes dinic of Turgut Özal Medicai Çenter, İnönü University for the /ast two years were ana/yzed retrospectiveiy. Thirty- seven per cent of the patients were male and 63% were female. The average age was 51.2 ± 20.9 years in ma/es and 52.8 ± 21.2 years in femaies. There were 35 (4%) type 1 and 836 (96%) type 2 diabetic patients. The average diabetes period in type 1 and type 2 diabetic patients were 9.88 ± 8.67 years and 7.07 ± 6.14 years, respectiveiy. Type 2 diabetic patients were treated with diet (16%), insülin (13.3%), and orai antidiabetic drugs (70.7%). The average body mass index was 25.8 ± 8.7 in ma/es and 28.9 ± 10.6 in femaies. The late compiication rates were determined as 66.6% for retinopathy 28.6% for neuropathy, 16.1% for microalbuminuria, and 7.4% for macroaibuminuria. The rates of the atherosderosis- related changes were 40.4% for hypertension, 40.7% for hypercholesterolemia, and 36.2% for hypertriglyceridemia. In patients treated with diet, there were 7.1% of neuropathy, 14.3 % of microalbuminuria, 4.3% of macroaibuminuria, and 11.2% of retinopathy. In patients treated with orai antidiabetic drugs, there were 16.3% of neuropathy, 18.1% of microalbuminuria, 8.2% of macroaibuminuria, and 59% of retinopathy. Patients with insülin treatment had results as 21.2% of neuropathy, 7.7% of microalbuminuria, 7.7% of macroaibuminuria, and 63% of retinopathy. These data will be a guide for the regular and systematic follow-up of patients in the future.
Açıklama
Turgut Özal Tıp Merkezi Dergisi.6 (3) :1999. İnönü Üniversitesi, Malatya.
Anahtar Kelimeler
Epidemiyoloji, tip 2 diabetes mellitus, Epidemiology, type 2 diabetes mellitus
Kaynak
İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
6
Sayı
3
Künye
Sevinç, Alper ;Şavlı, Haluk ;Serbest, Servet ;Harputluoğlu, Murat ;Turgut Özal Tıp Merkezi Dergisi.6 (3) :1999. İnönü Üniversitesi, Malatya.
