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目的分析贵阳市社区慢性病管理中2型糖尿病患者空腹血糖达标率及影响因素,为提高2型糖尿病控制效果提出针对性建议。方法采取分层整群抽样,于2015年10—12月抽取贵阳市城郊社区35岁以上的糖尿病患者729例,进行问卷调查、体格检查和生化检测,并对影响糖尿病空腹血糖控制率的相关因素进行单因素χ2检验和多因素非条件logistic回归分析。结果糖尿病患者的空腹血糖达标率为31.41%(229/729);单因素分析发现,性别、文化程度、病程年限、吸烟、喝酒、饮食、锻炼、有高血压、合并并发症、体质指数、收缩压未达标、舒张压未达标、甘油三脂未达标与糖尿病患者血糖不达标有关(P<0.01);多因素非条件logistic回归分析结果显示,病程年限、饮食、合并高血压与空腹血糖达标率呈正相关(OR值分别为8.370、39.418、3.407);吸烟、文化程度与空腹血糖达标率呈负相关(OR值分别为0.438、0.071)。结论贵阳市社区糖尿病患者空腹血糖达标率低。吸烟、文化程度(小学)是导致糖尿病患者空腹血糖达标率低的重要因素,建议在糖尿病血糖控制中应重点向吸烟和低文化程度人群普及糖尿病疾病知识,宣传健康的生活方式。
Objective To analyze the compliance rate and influencing factors of fasting blood glucose in type 2 diabetes mellitus patients in community-based chronic disease management in Guiyang city and put forward some suggestions to improve the control effect of type 2 diabetes mellitus. Methods Taken stratified cluster sampling, from July to December 2015, 729 diabetic patients over 35 years old in suburban community of Guiyang City were collected for questionnaires, physical examinations and biochemical tests, and related factors influencing fasting blood glucose control rate Univariate χ2 test and multivariate non-conditional logistic regression analysis. Results The compliance rate of fasting blood glucose in patients with diabetes was 31.41% (229/729). Univariate analysis showed that gender, education, duration of illness, smoking, drinking, diet, exercise, hypertension, complications, body mass index (P <0.01). The multivariate non-conditional logistic regression analysis showed that the duration of disease, diet, combined hypertension and fasting blood glucose compliance rate (OR = 8.370, 39.418, 3.407, respectively). There was a negative correlation between smoking and educational attainment and the compliance rate of fasting blood glucose (OR = 0.438,0.071, respectively). Conclusion The fasting blood glucose of diabetic patients in Guiyang community is low. Smoking, education level (primary) is an important factor leading to low fasting blood glucose in diabetic patients. It is suggested that knowledge of diabetes disease should be popularized in people with smoking and low education level, and a healthy life style should be promoted in diabetes blood sugar control.