摘要
目的评价我省玉门地区糖尿病患者控制现状,并分析相关危险因素。方法以市区为中心抽取该地区规律就诊的糖尿病患者进行问卷调查和检查。按照中国2型糖尿病防治指南(2010)推荐的控制目标值评价该地区糖尿病患者控制现状,分析影响血糖控制的危险因素。结果纳入研究的160例调查对象中,各项糖尿病控制指标的达标率分别为:空腹血糖69例(43.1%)、餐后血糖30例(18.8%)、糖化血红蛋白38例(23.8%)、高密度脂蛋白胆固醇145例(90.6%)、甘油三酯76例(47.5%)、低密度脂蛋白胆固醇40例(25.0%)、体质量指数57例(35.6%)。尿微量白蛋白排泄率111例(69.4%),血压41例(25.6%),以糖化血红蛋白作为应变量进行二分类logistic回归分析显示,糖尿病病程短的患者,血糖控制容易达标,文化程度较高是血糖达标的保护性因素。结论我省边远地区糖尿病控制现状不理想,并发症高,糖尿病病程长、文化程度低是血糖达标的独立危险因素。
Objective To evaluate the state of type 2 diabetes（T2DM） control in Yumen,Gansu province and to analyze its related factors. Methods The study involved a questionnaire and tests selected from patients with diabetes who visited Yumen People＇s Hospital of regularly,all of them finished the questionnaire survey,physical examination and laboratory tests, the state of control was evaluated according to the Guideline For Prevention and Treatment of Diabetes in China（2010） and to analyzes its risk factors. Results A total of 160 subjects were included in the study. The percentage of fasting blood glucose cases 69 （43.1%）, postprandial blood glucose cases 30 （18.8%）, glycated hemoglobin cases 38 （23.8 % ）, high density lipoprotein cholesterol cases 145 （90.6 % ）, triglycerides cases 76 （ 47.5 %）, low density tipoprotein cholesterol cases 40 （25.0）, body mass index caes 57 （35.6 % ）, uAER cases 111 （ 69.4 % ） blood pressure cases 41（25.6%） and urinary albumin excretion rate up to standard were respectively. Logistic regression analysis showed that duration of diabetes and educational degree were independent risk factors for blood glucose control. Conclusion Current status of control in patients with diabetes in Yumen is not optimistic,early treatment and more efforts should be encouraged for better control in diabetic patients, especially for the low education level patients.
出处
《临床荟萃》
CAS
2013年第2期148-150,154,共4页
Clinical Focus
基金
中华医学会临床医学科研专项基金(10020120234)
甘肃省卫生行业科技计划(GSWST2010-03)
关键词
糖尿病
横断面研究
危险因素
diatbetes mellitus
cross-sectional study
risk factor
