摘要
目的了解门诊仅接受口服降糖药物治疗的2型糖尿病(T2DM)患者降糖达标现状及糖尿病慢性并发症、合并症的发生情况。方法收集我院门诊仅接受口服降糖药物治疗(3个月以上)的T2DM病例401例,通过问卷调查的方式收集患者血糖、HbA1c值、血压、血脂、自我管理信息、治疗方案、合并症及慢性并发症等情况,评估HbA1c≤6.5%的达标现状及糖尿病慢性并发症、合并症的发生情况。结果血糖控制现状调查显示HbA1c≤6.5%的达标率为17.5%;HbA1c>6.5%组合并心脑血管疾病、慢性并发症的比率明显高于HbA1c≤6.5%组;36.9%患者血糖监测频率≥4次每月,13.7%患者HbA1c监测频率≥4次每年;患者控制饮食、规律运动的比例分别为74.6%、51.6%;大多数患者应用2种及以上降糖药物治疗。结论门诊仅接受口服药物治疗的T2DM患者血糖控制达标率低,血糖控制不良与糖尿病合并症、慢性并发症相关。
Objective To investigate the current state of glycemic control and complications in type 2 diabetes mellitus（T2DM）who cecevied oral antidiabetic agents in the out-patient clinic.Methods 401 T2DM outpatients who have recevied long-term（more than 3 months）oral antidiabetic agents were enrolled in our hospital.A questionnatirc interview was used to collect data of patients on blood glucose,glycosylated hemoglobin A1c（HbA1c）,blood pressure,blood fat,self-management,therapy,complications.The good control rate of HbA1c（≤6.5%）and incidence rate of complications were evaluated.Results The survey of glycemic control revealed that the good control rate of HbA1c（≤6.5%）was 17.5%.The incidence rate of complications was higher in group of HbA1c〉6.5%.The rates of patients who monitored the blood glucose（≥4 times per month）and HbA1c（≥4 times per year）were 36.9% and 13.7%,74.6% patients controlled diet.51.6% patients took regular exercises.The bulk of the patients were taken two or more oral antidiabetics.Conclusion The good control rate of glycemic control is low in T2DM who cecevied oral antidiabetic agents in the out-patient clinic.Bad control of glycemic is associated with the complications.
出处
《中国实用医药》
2011年第9期3-5,共3页
China Practical Medicine
关键词
2型糖尿病
门诊
糖化血红蛋白
达标率
并发症
Type 2 diabeties mellitus
Out-patients
Glycosylated hemoglobin
Good control rate
Complications
