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目的了解盐城市社区人群2型糖尿病(DM)患者血糖控制状况。方法在南京市鼓楼医院牵头下,由指定的研究机构对全省社区人群糖尿病患者血糖控制状况进行统一调查,本次对盐城市2家三级医院、3家二级医院及3家社区医院,就诊半年以上的门诊糖尿病患者,进行了随机抽样调查,并检测了糖化血红蛋白(HbA1c)、空腹血糖(FBG)、餐后2h血糖(2hPG)等,获得有效研究样本261人。结果在261例现患DM患者中,90.42%的患者平时在二级和社区医疗机构就诊,而三级医疗机构的就诊数占9.58%;男性血糖控制率好于女性,不同文化水平、职业、经济收入,其血糖控制的水平与因素间无明显相关。结论对社区人群2型糖尿病患者尽早开展有针对性的综合预防控制措施,可有效改善该人群的血糖状况。
Objective To understand the glycemic control of type 2 diabetes mellitus (DM) in Yancheng community. Methods Under the lead of Nanjing Drum Tower Hospital, the research institutions designated by the government conducted a survey on the glycemic control of diabetic patients in the community in the whole province. This survey conducted a survey of two tertiary hospitals, three secondary hospitals and three community hospitals in Yancheng, Outpatients with more than six months of outpatient diabetes mellitus were randomly sampled and tested for HbA1c, fasting blood glucose (FBG), postprandial 2h blood glucose (2hPG), etc., to obtain a valid sample of 261 people. Results Of the 261 patients with DM, 90.42% of them usually visited the second-class and community-based medical institutions, while the third-grade medical institutions accounted for 9.58% of the total. The rate of blood glucose control was significantly higher in men than in women, with different literacy, Economic income, the level of glycemic control and no significant correlation between factors. Conclusion As soon as possible, targeted comprehensive prevention and control measures for type 2 diabetes patients in community groups can effectively improve the blood glucose status of this population.