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目的:了解北京某大学社区2型糖尿病患者血糖、血压及血脂达标情况,为相关疾病的早期预防提供科学依据。方法:随机选取2010年3月至2011年3月在大学社区门诊治疗的2型糖尿病患者222名,并按照HbA1c<7.0%为达标值分为达标组患者(90例)和未达标组患者(132例),收集其基本信息、体检信息、人口学信息、现病史、既往史、并发症信息、治疗现状及实验室检查相关资料并进行统计学分析。结果:共调查222名2型糖尿病患者中,达标率为40.54%;单项指标达标率较低,血压、血脂及体重指数的达标率分别为50.45%、31.53%、40.99%。血糖达标的同时血压、血脂得到控制的患者分别有22.97%、11.71%。而血糖、血压、血脂均达标的为7.66%,达标率较低。结论:目前大学社区2型糖尿病患者血糖达标率较低,伴高血压和血脂异常的患者血压、血脂同时达标率更低。因此,对大学社区2型糖尿病患者应采用科学、合理的血糖、血压、血脂、BMI水平等危险因素综合性的治疗,提高各项指标的综合达标率,减少糖尿病并发症和死亡发生风险。
Objective: To understand the blood glucose, blood pressure and blood lipid compliance of type 2 diabetes in a university community in Beijing and to provide a scientific basis for the early prevention of related diseases. Methods: A total of 222 type 2 diabetic patients who were treated in university community outpatient department from March 2010 to March 2011 were randomly selected and divided into two groups according to HbA1c <7.0% as standard group (90 cases) and non-standard group 132 cases) were collected, and their basic information, physical examination information, demographic information, current illness history, past history, complications information, treatment status and laboratory tests were collected and statistically analyzed. Results: A total of 222 type 2 diabetic patients were investigated. The compliance rate was 40.54%. The individual compliance rate was low, and the compliance rates of blood pressure, blood lipid and body mass index were 50.45%, 31.53% and 40.99% respectively. Blood glucose reached the same time the blood pressure, blood lipids controlled patients were 22.97%, 11.71%. The blood sugar, blood pressure, blood lipid reached the standard of 7.66%, the lower the standard rate. Conclusion: At present, people with type 2 diabetes in university community have a lower blood sugar compliance rate, while patients with hypertension and dyslipidemia also have lower blood pressure and blood lipids. Therefore, comprehensive treatment of type 2 diabetes mellitus should be taken in university community with scientific and reasonable risk factors such as blood glucose, blood pressure, blood lipid and BMI, so as to improve the overall compliance rate of various indicators and reduce the risk of complications and death of diabetes.