俞捷, 张艳, 赵俊峰. 上海市黄浦区社区2型糖尿病并发症患病率及相关因素分析[J]. 上海预防医学, 2012, 24(2): 57-61.
引用本文: 俞捷, 张艳, 赵俊峰. 上海市黄浦区社区2型糖尿病并发症患病率及相关因素分析[J]. 上海预防医学, 2012, 24(2): 57-61.
YU Jie, ZHANG Yan, ZHAO Jun-feng. The prevalence and the related factors of type 2 diabetes mellitus with chronic complications in the community-based patients of Huangpu district, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2012, 24(2): 57-61.
Citation: YU Jie, ZHANG Yan, ZHAO Jun-feng. The prevalence and the related factors of type 2 diabetes mellitus with chronic complications in the community-based patients of Huangpu district, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2012, 24(2): 57-61.

上海市黄浦区社区2型糖尿病并发症患病率及相关因素分析

The prevalence and the related factors of type 2 diabetes mellitus with chronic complications in the community-based patients of Huangpu district, Shanghai

  • 摘要: 目的 了解上海市黄浦区社区2型糖尿病患者中慢性并发症的患病率,并分析其相关危险因素。方法 采用单纯随机抽样的方法,从黄浦区社区糖尿病患者管理系统中收集病例516例,通过采用自行设计的问卷调查采集患者的慢性并发症资料。结果 糖尿病患者慢性并发症患病率分别为:心血管病变64.92%、感觉神经病变29.26%、眼睛病变28.10%、植物神经病变20.35%、脑血管病变20.15%、肾脏病变5.04%、运动神经病变3.10%、下肢血管病变2.71%,总患病率为77.71%。经单因素Logistic回归分析,初步筛选各类慢性并发症的相关因素,再用多因素Logistic回归分析,显示性别、年龄段、病程、服药、BMI、血压、血糖、饮食控制、体育锻炼、血糖测量以及总胆固醇和低密度脂蛋白是主要的影响因素。结论 社区糖尿病患者中慢性并发症的患病率较高,通过对可控的糖尿病慢性并发症危险因素的干预,以预防糖尿病慢性并发症的发生。

     

    Abstract: Objective To explore the prevalence rate of type 2 diabetes with chronic complications in Huangpu district's community, and analyze their related risk factors.Methods Five hundred and sixteen cases with type 2 diabetes in the diabetic management system of Huangpu district's community were obtained by simple stochastic sampling. A self-designed questionnaire was employed to collect information concerning patients' chronic complications.Results The prevalence rate of the type 2 diabetic complication was 64.92% for cardiovascular disease, 29.26% for sensory neuropathy, 28.10% for eye disease, 20.35% for autonomic neuropathy, 20.15% for cerebrovascular disease, 5.04% for kidney disease, 3.10% for motor neuropathy, 2.71% for lower extremity vascular disease, respectively. The prevalence rate of whole complications was 77.71%. The factors related to different kinds of the chronic complications were analyzed using univariate logistic regression analysis, then analyzed using multivariate logistic regression analysis. It was found that that gender, age, disease course, medication, BMI, blood pressure, glucose abnormalities, diet control, physical activity, blood glucose measurement, cholesterol and low-density lipoprotein were the major risk factors of the major complications.Conclusion The prevalence rate of the diabetes-related chronic complications is high. Intervention to the controllable risk factors might prevent the occurrence of the chronic complications of diabetes.

     

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