糖尿病患者の脉管障碍に関する統計的観察

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概要

• 論文の詳細を見る

• The statistical study on albuminuria, hypertension, diabetic retinopathy and ECG abnormalities as the cardiovascular complications in 172 diabetic patients was performed. All patients were admitted to Kurokawa's Clinic of Tohoku University Hospital from 1955 through 1957. They were divided into several groups according to sex, diabetic type, decade of age and the duration of diabetes for the purpose of study.<BR>Following results were obtained.<BR>(1) The incidence of albuminuria was 30.4 per cent, and was 17.9 per cent when the cases with faint albuminuria were excluded. It was equally frequent in females and males, and more frequent in type II diabetics than in type I. This type of diabetes mellitus are clinical classification used in our Clinic. Type I indicates the mild diabetic case which can be controled by only the diet, and type II indicates the severe diabetic case which requires insulin besides diabetic diet.<BR>(2) Hypertension was present in 38.2 per cent. It was also about equally frequent in both sexes, there was more frequent in type I than in type II.<BR>(3) The occurrence of hypertension in the diabetic patients in this series was greater than in the nondiabetics in all decades. Significant difference was observed in only the 5th decade. It was not found, however, that the average systolic blood pressure of diabetic people in this series was higher than of normal Japanese people in both sexes, and the average diastolic too.<BR>(4) Diabetic retinopathy was observed in 27.1 per cent, and there was no significant difference in the occurrence between both sexes.<BR>(5) Kimmelstiel-Wilson syndrome was present in 9.3 per cent. There was no significant difference in the frequence of Kimmelstiel-Wilson syndrome between the both sexes, and between type I and type II also.<BR>(6) The occurrence of ECG abnormalities was 38 per cent. There was no significant difference between both sexes, and between both types also.<BR>(7) The incidence of the vascular complications shows a gradual increase from 1955 to 1957, and it was found that more than a half of the diabetics in last 2 years had at least one of the vascular complicatons.<BR>(8) The frequency of hypertension and Kimmelstiel-Wilson syndrome increased with age of diabetic patient, while the frequency of albuminura, diabetic retinopathy and ECG abnormalities was not parallel to the age.<BR>(9) It seems, however, that the frequency of albuminuria, diabetic retinopathy, Kimmelstiel-Wilson syndrome and ECG abnormalities, except hypertension, increase with the prologation of the duration of diabetes.

• 日本内分泌学会の論文

著者

• 平井 達郎

  東北大学医学部山形内科

• 布川 領三

  東北大学医学部山形内科

• 斎藤 達雄

  東北大学医学部黒川内科

• 辻 米夫

  東北大学医学部黒川内科

• 中山 豊

  東北大学医学部黒川内科

• 加藤 襄二

  東北大学医学部黒川内科

• 八木 力

  東北大学医学部黒川内科

• 桑野 昭彦

  東北大学医学部黒川内科

• 内山 樹

  東北大学医学部黒川内科

• 布川 領三

  東北大学医学部黒川内科

関連論文

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• 155) 消化器疾患患者の心電圖, 殊に膽嚢疾患ならびに胃十二指腸疾患について(第23回日本循環器學會總會)
• 171) 反復性を示す完全右脚ブロックの3例(第22回日本循環器學會總會(後半))
• 心筋のバイオプシー : 第25回日本循環器学会総会
• 糖尿病患者の脉管障碍に関する統計的観察

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