摘要
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 control rate of fasting blood glucose among patients with type 2 diabetes mellitus in the community chronic disease management in Guiyang City, study the influencing factors, and put forward the pertinent suggestions to improve the control effect of type 2 diabetes mellitus. [Methods] By the stratified cluster sampling, 729 type 2 diabetes mellitus patients over 35 years old were collected from Guiyang City during October to December in 2015, and the questionnaire survey, physical examination and biochemical detection were performed. The factors influencing the control rate of fasting blood glucose in diabetes mellitus patients were analyzed by the single factor chi square test and multivariate unconditional logistic regression analysis. [ Results ] The control rate of fasting blood glucose among diabetes patients was 31.41% （229/729）. Single factor analysis found that gender, educational level, duration of disease, smoking, drinking, diet, exercise, high blood pressure, complications, body mass index, uncontrolled systolic pressure, uncontrolled diastolic pressure, and uncontrolled triglycerides were related to the control rate of fasting blood glucose （P〈0.01）. Multivariate unconditional logistic regression analysis showed that duration of disease, diet and high blood pressure were positive correlated with the control rate of fasting blood glucose （OR value was respectively 8.370, 39.418 and 3.407）, while smoking and educational level were negatively correlated with the control rate of fasting blood glucose （OR value was respectively 0.438 and 0.071）. [Conclusion] The control rate of fasting blood glucose among community patients with diabetes mellitus in Guiyang City is low, and the control status is not optimistic. Smoking and educational level are the important factors that leads to the lower control rate of fasting blood glucose in diabetics. It is suggested that the health education of glycemic control should focus on the smoking people and lower-educational-level population, to advocate a healthy lifestyle.
出处
《职业与健康》
CAS
2017年第10期1401-1404,共4页
Occupation and Health
关键词
2型糖尿病
空腹血糖
控制现状
Type 2 diabetes mellitus
Fasting blood glucose
Control status
