摘要
目的探讨链式分层管理模式对糖尿病患者血糖控制情况及其影响因素。方法2007年始建立糖尿病患者健康管理档案库并进行链式分层管理，截至2011年共陆续管理2型糖尿病患者1010例，分析糖尿病患者血糖达标情况，运用多因素非条件Logistic回归分析血糖控制的影响因素。结果1010例2型糖尿病患者糖化血红蛋白（HbA1c）为（8．21±2．70）％，血糖达标者487例，占48．22％，血压达标者303例，占30．00％，血脂达标者245例，占24．26％，血压、血脂、血糖同时达标者76例，占7．52％。多因素分析结果显示，职业（OR=2．521，95％CI：1．871-3．397）、文化程度（OR=1．890，95％CI：1．642-2．174）、病程（OR=1．035，95％CI：1．016-1．055）、收缩压（OR=1．016，95％CI：1．007-1．025）、三酰甘油（OR=1．204，95％CI：1．063-1．365）是影响血糖控制的危险因素（P值均〈0．01）。结论链式分层管理模式有助于2型糖尿病患者的血糖控制，应结合血压、血脂、糖尿病病程等相关危险因素对2型糖尿病患者进行综合防治。
Objective To explore the hierarchical chain management model in blood glucose control and its influence factors in patients with diabetes mellitus. Methods Health management database of diabetic patients was established in 2007 and managed by hierarchical chain management. The number of the patients reached to 1010 till 2011. The blood glucose control of diabetic patients was analyzed and its influence factors were analyzed by multivariate unconditional Logistic regression method. Results The concentration of glycosylated hemoglobin（HbA1c） of 1010 patients with type 2 diabetes was （8.21 ± 2.70）%. Four hundred and eighty-seven cases （48.22%） reached the blood glucose standard, 303 cases （30.00%） reached the blood pressure standard, 245 cases （24.26%） reached the blood lipids standard, and 76 cases （7.52%） reached all three standards. Multivariate analysis showed that occupation （OR = 2.521,95% CI： 1.871 -3.397）,education level （OR = 1.890,95% CI： 1.642 -2.174）,disease course （OR = 1.035,95% CI： 1.016 - 1.055）,systolic pressure （OR = 1.016,95% CI：1.007 - 1.025） and triglyceride （OR = 1.204,95% CI： 1.063 -1.365） were the risk factors of blood glucose control （P 〈0.01）. ConclusionsHierarchical chain management model is helpful for the blood glucose control in patients with type 2 diabetes. The comprehensive control and treatment of type 2 diabetes should be taken combined with related risk fac- tors, such as blood pressure, blood lipids and diabetes disease course.
出处
《中国医师进修杂志》
2012年第19期7-10,共4页
Chinese Journal of Postgraduates of Medicine
基金
上海市徐汇区科学技术委员会研究基金（SHXH2009Y002）
关键词
糖尿病
2型
血糖自我监测
链式分层管理
影响因素
Diabetes mellitus,type 2
Blood glucose self-monitoring
Hierarchical chainmanagement model
Influencing factors
