Diabetes millitus II. Complicaciones agudas en el Hospital Provincial Martín Icaza entre enero a diciembre del 2017
Fecha
2018
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
La diabetes mellitus es una enfermedad compleja, crónica que requiere atención médica continua con estrategias multifactoriales para la reducción de riesgos más allá del control de la glucemia. La diabetes mellitus, además es un grupo de trastornos metabólicos caracterizados por la hiperglucemia debida a defectos en la secreción o acción de la insulina. Existen múltiples procesos fisiopatogénicos involucrados en su aparición que varían desde la destrucción autoinmunitaria de las células β del páncreas hasta alteraciones que conducen a la resistencia a la acción de la insulina. El propósito de la investigación es analizar los factores de riesgos y complicaciones agudas de la diabetes mellitus 2 en el Hospital Martín Icaza de Babahoyo entre 2016-2017.Que la mayor proporción de pacientes fueron los que están dentro del grupo etario de más de 70 a 81 años con el 66%, seguido de los mayores de 81 años con el 26%, y los de 65 a 70 años con el 8 %. En cuanto al lugar de procedencia, la provincia de Los Ríos ocupa el primer lugar con el 54 %, seguido de la provincia de la provincia del Guayas con el 22 % y la provincia de EL Oro con un 12%. Mientras que, dentro de los factores de riesgo de nuestros pacientes, presentaron obesidad en un 35 %, seguido de edad mayor de 65 años con el 30 %, dislipidemias con un 20 %, síndrome de ovario poliquístico con 10 %, sedentarismo 3,3 %.De los 120 pacientes evaluados, las complicaciones se presentaron en el 70 % (84) de las cuales las más frecuentes fue la cetoacidosis diabética con el 55 %, seguido de coma hiperosmolar con 32 % y por último la hipoglicemia con el 13 %.Se encontró asociación estadísticamente significativa entre las complicaciones y los factores de riesgo (p0, 001) y la edad (p0, 003).
Diabetes mellitus is a complex, chronic disease that requires continuous medical attention with multifactorial strategies for risk reduction beyond the control of glycemia. Diabetes mellitus is also a group of metabolic disorders characterized by hyperglycemia due to defects in the secretion or action of insulin. There are multiple physiopathogenic processes involved in its appearance that vary from the autoimmune destruction of the β cells of the pancreas to alterations that lead to resistance to the action of insulin. The purpose of the research is to analyze the risk factors and acute complications of diabetes mellitus 2 at the Martín Icaza Hospital in Babahoyo between 2016-2017. The largest proportion of patients were those within the age group of more than 70 years. 81 years with 66%, followed by those over 81 with 26%, and those aged 65 to 70 with 8%. Regarding the place of origin, the province of Los Ríos occupies the first place with 54%, followed by the province of the province of Guayas with 22% and the province of El Oro with 12%. While, within the risk factors of our patients, they presented obesity in 35%, followed by age over 65 with 30%, dyslipidemias with 20%, polycystic ovarian syndrome with 10%, sedentary lifestyle 3.3 %. Of the 120 patients evaluated, complications occurred in 70% (84) of which the most frequent was diabetic ketoacidosis with 55%, followed by hyperosmolar coma with 32% and finally hypoglycemia with 13%. Statistically significant association was found between complications and risk factors (p0, 001) and age (p0, 003). Keywords: Diabetes mellitus, acute complications
Diabetes mellitus is a complex, chronic disease that requires continuous medical attention with multifactorial strategies for risk reduction beyond the control of glycemia. Diabetes mellitus is also a group of metabolic disorders characterized by hyperglycemia due to defects in the secretion or action of insulin. There are multiple physiopathogenic processes involved in its appearance that vary from the autoimmune destruction of the β cells of the pancreas to alterations that lead to resistance to the action of insulin. The purpose of the research is to analyze the risk factors and acute complications of diabetes mellitus 2 at the Martín Icaza Hospital in Babahoyo between 2016-2017. The largest proportion of patients were those within the age group of more than 70 years. 81 years with 66%, followed by those over 81 with 26%, and those aged 65 to 70 with 8%. Regarding the place of origin, the province of Los Ríos occupies the first place with 54%, followed by the province of the province of Guayas with 22% and the province of El Oro with 12%. While, within the risk factors of our patients, they presented obesity in 35%, followed by age over 65 with 30%, dyslipidemias with 20%, polycystic ovarian syndrome with 10%, sedentary lifestyle 3.3 %. Of the 120 patients evaluated, complications occurred in 70% (84) of which the most frequent was diabetic ketoacidosis with 55%, followed by hyperosmolar coma with 32% and finally hypoglycemia with 13%. Statistically significant association was found between complications and risk factors (p0, 001) and age (p0, 003). Keywords: Diabetes mellitus, acute complications
Descripción
PDF
Palabras clave
Diabetes mellitus tipo 2, Complicaciones, Factores de riesgo, Hospital General Martín Icaza, Cantón Babahoyo, Ecuador