张培红, 姚保栋. 2型糖尿病门诊患者血糖控制状况及影响因素分析[J]. 上海预防医学, 2012, 24(9): 473-475.
引用本文: 张培红, 姚保栋. 2型糖尿病门诊患者血糖控制状况及影响因素分析[J]. 上海预防医学, 2012, 24(9): 473-475.
ZHANG Pei-hong, YAO Bao-dong. Glycemic control status and its influencing factors in type 2 diabetic outpatients[J]. Shanghai Journal of Preventive Medicine, 2012, 24(9): 473-475.
Citation: ZHANG Pei-hong, YAO Bao-dong. Glycemic control status and its influencing factors in type 2 diabetic outpatients[J]. Shanghai Journal of Preventive Medicine, 2012, 24(9): 473-475.

2型糖尿病门诊患者血糖控制状况及影响因素分析

Glycemic control status and its influencing factors in type 2 diabetic outpatients

  • 摘要: 目的 评价2型糖尿病门诊患者血糖控制情况,了解该人群血糖控制的影响因素。方法 采用单纯随机抽样的方法,在上海市某三级甲等医院糖尿病中心抽取2型糖尿病患者677例,收集患者的基本人口学特征、体格检查以及实验室检测资料等。运用单因素分析和非条件Logistic回归分析探讨血糖控制的影响因素。结果 677例2型糖尿病患者的糖化血红蛋白(HbAlc)平均值为7.27%,HbAlc ≥ 7.00%的患者有313例,占46.23%。非条件Logistic回归分析结果显示,影响血糖控制效果的因素有舒张压(DBP)、体质指数(BMI)和三酰甘油(TG),OR值分别为1.03、1.17和1.40。结论 2型糖尿病门诊患者的血糖控制现状不容乐观,血糖控制状况受多种因素影响。

     

    Abstract: Objective To investigate the glycemic control status and its influencing factors in type 2 diabetic outpatients. Methods A total of 677 type 2 diabetic outpatients in a three-A level hospital in Shanghai were enrolled in this study. Their general conditions, physical examination and lab examination were surveyed. Results The mean HbAlc concentration of the 677 type 2 diabetic outpatients was 7.27%. And 46.23% of participants had a HbAlc ≥ 7.00%. The results of Logistic regression showed that diastolic blood pressure(DBP), body mass index(BMI) and triglycerides(TG) were influencing factors for achieving the optimum HbAlc goal. Conclusion The success rate of glycemic control was low in outpatients with type 2 diabetes mellitus. There are multifaceted determinants for achieving glycemic control. It is essential to further increase the awareness of these determinants.

     

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