雅安市2型糖尿病患者血糖控制达标情况及其影响因素

doi:10.12183/j.scjpm.2020.0626

摘要/Abstract

摘要： 目的分析2型糖尿病（T2DM）患者血糖控制现状及相关因素，为调整糖尿病患者管理提供科学依据。方法以雅安市某医院登记在册的所有T2DM患者为研究对象进行调查，内容包括基本情况（性别、年龄、病程、文化程度等）、降血糖药物使用依从性、运动锻炼、血糖监测、饮食控制情况、糖尿病并发症等并抽取晨静脉血用于糖化血红蛋白（HbA1c）检测。对结果进行描述性分析，并对血糖控制影响因素进行单、多因素分析。结果共对1 073例T2DM患者进行调查。年龄38～86岁，平均年龄（62.53 ± 7.36）岁。男性711例，占66.26%。文化程度以初中、高中/中专为主，占58.06%。糖尿病病程以＜5年为主，占46.69%。T2DM患者中250例血糖控制达标，达标率为23.30%。多因素 Logistic回归分析结果显示，年龄越大（OR＝2.776）、降血糖药物使用依从性越好（OR＝3.225）、运动锻炼习惯越好（OR＝2.213）、血糖监测≥10次/月（OR＝2.442）、饮食控制越严格（OR＝4.200）的T2DM患者血糖控制达标可能性越大，并发症病种越多（OR＝0.287）、病程越长（OR＝0.325）者血糖控制达标可能性越低。结论该地区T2DM患者血糖控制水平较不理想，影响糖尿病患者血糖控制水平的因素较多，相关部分应结合该人群特征调整政策，以保证患者血糖控制情况，避免并发症发生。

关键词: 2型糖尿病, 血糖, 糖化血红蛋白, 并发症

Abstract: Objective To investigate the status of blood glucose control in patients with type 2 diabetes mellitus （T2DM） and its related factors， so as to provide scientific basis for adjusting the management of diabetic patients.Methods All T2DM patients registered in a hospital of Ya'an City were investigated， including basic information （gender， age， course of disease， education level， etc.）， compliance with hypoglycemic drugs， exercise， blood glucose monitoring， diet control， complications of diabetes， etc.， and morning venous blood was collected for detection of HbA1c. The results were analyzed by descriptive analysis， and the influencing factors of blood glucose control were analyzed by univariate and multivariate analysis.Results A total of 1 073 T2DM patients aged 38-86 years were investigated， with an average age of （62.53 ± 7.36） years， and more males （711 cases， 66.26%）. The education level was mainly in junior high school and senior high school / secondary specialized school， accounting for 58.06%. The main course of diabetes was＜5 years， accounting for 46.69%. Among them， 250 cases reached the standard of blood glucose control， with a rate of 23.30%. Multivariate logistic regression analysis showed that the older the age （OR＝2.776）， the better the compliance of hypoglycemic drugs （OR＝3.225）， the better the exercise habits （OR＝2.213）， the frequency of blood glucose monitoring≥10 times per month （OR＝2.442）， and the more strict the diet （OR＝4.200）， the more likely the T2DM patients to reached the standard of blood glucose control.The more complications （OR＝0.287） and the longer the course of disease （OR＝0.325），the lower the possibility to reached the standard of blood glucose control.Conclusion The blood glucose control level of T2DM patients in this hospital is not ideal， and there are many factors affecting the blood glucose control level of patients with diabetes in this area. The relevant departments should adjust the policies according to the characteristics of the population to ensure the blood glucose control of patients and avoid the complications.

Key words: Type 2 diabetes mellitus, Blood glucose, HbA1c, Complication

中图分类号:

R195.4

林虹, 郑循达, 魏余琴, 黄燕. 雅安市2型糖尿病患者血糖控制达标情况及其影响因素[J]. 华南预防医学, 2020, 46(6): 626-629.

LIN Hong, ZHENG Xun⁃da, WEI Yu⁃qin, HUANG Yan. Control rate of blood glucose and its influencing factors in type 2 diabetes mellitus patients in Ya'an City[J]. South China Journal of Preventive Medicine, 2020, 46(6): 626-629.

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