论文部分内容阅读
目的了解淮安市清河区糖尿病患者的血糖控制情况及其影响因素。方法采用随机抽样的方法抽取该地区糖尿病患者1 987例进行问卷调查,并测量患者的体重,身高,血糖,血脂。结果糖尿病患者的空腹血糖平均值为(8.12±2.98)mmol/L,血糖控制率为42.33%;非吸烟者血糖控制率为44.14%,大于吸烟者的35.80%(χ2=9.67,P=0.02);血压正常者血糖控制率为49.24%,高血压者血糖控制率为36.34%,前者控制率高于后者(χ2=33.70,P<0.01);非中心性肥胖患者的血糖控制率为51.81%,高于中心性肥胖患者的37.90%(χ2=34.25,P<0.01);血糖控制率随血糖控制措施而不同(χ2=160.43,P<0.01)。血脂总异常率69.60%。多因素logistic回归分析结果:年龄高者血糖控制较差(OR=0.83,95%CI:0.71~0.97),高血压(OR=1.52,95%CI:1.26~1.84)、吸烟(OR=0.75,95%CI:0.57~0.98)、中心性肥胖(OR=0.61,95%CI:0.50~0.74)均不利于血糖控制。结论清河区糖尿患者血糖控制效果较差,血糖控制效果与年龄、吸烟、高血压、中心性肥胖、血脂有关。
Objective To understand the glycemic control and its influencing factors in diabetic patients in Qinghe District, Huaian City. Methods A random sample of 1 987 diabetics in the area was selected for questionnaire survey, and the body weight, height, blood glucose and blood lipids were measured. Results The average fasting blood glucose in diabetic patients was (8.12 ± 2.98) mmol / L and the blood glucose control rate was 42.33%. The non-smoker’s blood glucose control rate was 44.14%, which was significantly higher than that of smokers (χ2 = 9.67, P = 0.02) ; Blood pressure control rate was 49.24%, hypertension control rate was 36.34%, the former control rate was higher than the latter (χ2 = 33.70, P <0.01); non-central obesity patients blood glucose control rate was 51.81% , Which was higher than that of central obesity (37.90%, χ2 = 34.25, P <0.01). The control rate of blood glucose was different with the control of blood glucose (χ2 = 160.43, P <0.01). Total abnormal blood lipids 69.60%. Multivariate logistic regression analysis showed that the control of blood glucose in the elderly patients was poor (OR = 0.83, 95% CI: 0.71-0.97), hypertension (OR = 1.52, 95% CI: 1.26-1.84) 95% CI: 0.57-0.98), and central obesity (OR = 0.61,95% CI: 0.50-0.74) was unfavorable for glycemic control. Conclusion The glycemic control in patients with diabetes in Qinghe District is poor. The effect of controlling blood sugar is related to age, smoking, hypertension, central obesity and blood lipids.