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目的调查糖化血红蛋白(hemoglobin A1c,HbA1c)在社区2型糖尿病患者中的检测情况。方法 2010年1月—2011年5月随机抽取治疗1年以上的2型糖尿病患者56例,调查其HbA1c检测的情况,并分析其不检测的原因。结果56例患者中,1年检测1次35例,占62.5%;2次14例,占25.0%;3次6例,占10.7%;4次或以上1例,占1.8%。HbA1c控制良好16例,控制较差40例。不及时检测的原因主要是患者对其临床意义缺乏认识、经济状况较差和缺乏社区医生指导等。结论社区医疗机构中HbA1c的检测率较低,应积极提高医生对HbA1c检测意义的认识水平,加强糖尿病患者的健康教育。
Objective To investigate the detection of hemoglobin A1c (HbA1c) in community type 2 diabetes patients. Methods From January 2010 to May 2011, 56 patients with type 2 diabetes who were treated for more than one year were randomly selected and investigated for their HbA1c status. The causes of non-detection were analyzed. Results Among the 56 patients, 35 cases (62.5%) were detected once a year, 14 cases (25.0%) twice, 6 cases (10.7%) three times, and 1 case (1.8%) after 4 times or more. HbA1c control well in 16 cases, poor control 40 cases. The main reason is not timely detection of patients with their clinical significance of the lack of understanding, poor economic conditions and the lack of community doctor guidance. Conclusion The detection rate of HbA1c in community medical institutions is low, and doctors should actively raise the awareness of HbA1c detection and enhance the health education of patients with diabetes mellitus.