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目的调查分析社区糖尿病病人血糖控制及慢性并发症的情况,为糖尿病的社区防治和慢性病管理提供依据。方法以随机方式调查六家社区卫生服务中心2007年11月至2007年12月在社区门诊随诊的糖尿病病人共194人,检测其空腹血糖和餐后2h血糖,并调查糖化血红蛋白(HbA1c)的检测情况和慢性并发症的发生情况。结果随机抽查的194个病人中,血糖控制达到良好的只占24%;只有23%的病人在半年内检测过糖化血红蛋白(HbA1c),糖化血红蛋白(HbA1c)达到良好的病人不足30%;在社区诊治的糖尿病病人的慢性并发症患病率较低,只有5.7%～22.7%。结论社区糖尿病病人血糖控制不理想,需要加强社区卫生服务中心对糖尿病病人的科学管理和治疗。有效控制血糖和加强慢性并发症的筛查是今后社区糖尿病病人管理的重点。
Objective To investigate and analyze the glycemic control and chronic complications in community diabetic patients and provide basis for community prevention and chronic disease management of diabetes mellitus. Methods A total of 194 diabetic patients from 6 community health service centers who were followed up in community outpatient department from November 2007 to December 2007 were investigated randomly. The fasting blood glucose and 2h postprandial blood glucose were measured. The levels of HbA1c Detection and occurrence of chronic complications. RESULTS: Of the 194 patients randomized, only 24% had good glycemic control; only 23% had HbA1c and HbA1c less than 30% in half a year; in the community The prevalence of chronic complications in diabetic patients was lower, ranging from 5.7% to 22.7%. Conclusion The control of blood glucose in community diabetes patients is not satisfactory, and it is necessary to strengthen the scientific management and treatment of diabetic patients by community health service centers. Effective control of blood glucose and strengthen the screening of chronic complications in the future management of diabetic patients in the community focus.