摘要
目的了解淮安市清河区糖尿病患者的血糖控制情况及其影响因素。方法采用随机抽样的方法抽取该地区糖尿病患者1 987例进行问卷调查,并测量患者的体重,身高,血糖,血脂。结果糖尿病患者的空腹血糖平均值为（8.12±2.98）mmol/L,血糖控制率为42.33%;非吸烟者血糖控制率为44.14%,大于吸烟者的35.80%（χ2=9.67,P=0.02）;血压正常者血糖控制率为49.24%,高血压者血糖控制率为36.34%,前者控制率高于后者（χ2=33.70,P〈0.01）;非中心性肥胖患者的血糖控制率为51.81%,高于中心性肥胖患者的37.90%（χ2=34.25,P〈0.01）;血糖控制率随血糖控制措施而不同（χ2=160.43,P〈0.01）。血脂总异常率69.60%。多因素logistic回归分析结果：年龄高者血糖控制较差（OR=0.83,95%CI：0.71~0.97）,高血压（OR=1.52,95%CI：1.26~1.84）、吸烟（OR=0.75,95%CI：0.57~0.98）、中心性肥胖（OR=0.61,95%CI：0.50~0.74）均不利于血糖控制。结论清河区糖尿患者血糖控制效果较差,血糖控制效果与年龄、吸烟、高血压、中心性肥胖、血脂有关。
[Objective]To understand the situation of blood glucose control in diabetes mellitus patients in Qinghe District of Huai＇an City,analyze the influencing factors. [Methods]1987 diabetes mellitus patients were collected from Qinghe District by random sampling method. A questionnaire survey was performed,and the body weight,height,blood glucose and blood lipids of respondents were tested.[Results]The mean of fast blood-glucose in diabetes mellitus patients was（8.12±2.98） mmol/L,and the blood glucose control rate was 42.33%. The blood glucose control rate of nonsmokers was 44.14%,which was higher than that of smokers（35.80%）,and the difference was statistically significant（χ2=9.67,P=0.02）. The blood glucose control rate of people with normal blood pressure（49.24%） was higher than that of hypertension patients（36.34%）,and the difference was statistically significant（χ2=33.70,P〈0.01）. The blood glucose control rate of non-central obesity patients was 51.81%,which was higher than that of central obesity patients（37.90%）,and the difference was statistically significant（χ2=34.25,P〈0.01）. The blood glucose control rate was different among people with different control measures（χ2 =160.43,P〈0.01）. The total abnormal rate of blood lipids was 69.60%. Multivariate logistic regression analysis showed that older patients had a poor situation of blood glucose control（OR=0.83,95% CI：0.71-0.97）,hypertension（OR=1.52,95% CI：1.26-1.84）,smoking（OR=0.75,95% CI：0.57-0.98）,and central obesity（OR =0.61,95% CI：0.50-0.74） were the adverse factors. [Conclusion]The blood glucose control of diabetes mellitus patients in Qinghe District is not satisfactory,and it is related to age,smoking,hypertension,central obesity and blood lipids.
出处
《职业与健康》
CAS
2015年第20期2783-2785,2788,共4页
Occupation and Health
基金
江苏省预防医学基金(项目编号:Y2012027)
2013年度省第四期"333工程"科研资助立项项目(项目编号:BRA2013107)
关键词
2型糖尿病
影响因素
血糖控制率
Type 2 diabetes mellitus
Influencing factors
Blood glucose control rate
