广东省1型糖尿病患者血糖控制现状及相关因素的横断面调查
광동성1형당뇨병환자혈당공제현상급상관인소적횡단면조사
Cross-sectional study of current situation of glycemic control with type 1 diabetes in Guangdong Province
  • 万方数据
    中华医学杂志 중화의학잡지
    National Medical Journal of China
    2011年 46期 3257-3261 ,共5页

    邓洪容%武革%罗国春%郎江明%林少达%张秀薇%梁干雄%许美伦%林健才%袁琳%李绍清%吴建能%吴永新%曾龙驿%方懿珊%蔡德鸿%欧文新%钟可荣%谢乃强%李路%陈定宇%谭国据%杨华章%翁建平

    산홍용%무혁%라국춘%랑강명%림소체%장수미%량간웅%허미륜%림건재%원림%리소청%오건능%오영신%증룡역%방의산%채덕홍%구문신%종가영%사내강%리로%진정우%담국거%양화장%옹건평

    糖尿病,1型%广东省%血红蛋白A,糖基化 糖尿病,1型%廣東省%血紅蛋白A,糖基化
    당뇨병,1형%광동성%혈홍단백A,당기화
    Diabetes mellitus,type 1%Guangdong province%Hemoglobin A,glycosylated
    目的 了解广东省1型糖尿病(T1DM)患者血糖控制现状和相关因素.方法 在广东省21个地级市的89家三级和二级医院收集T1DM患者的血标本和临床资料.通过分析临床资料,了解影响血糖控制的因素.以糖化血红蛋白(HbA1c)评价血糖控制水平,HbA1c统一在广东省糖尿病防治中心检测.结果 2010年8月6日至2011年5月25日共调查纳入广东省851例T1DM患者.其中男408例,女443例.患者年龄的中位数为29.6岁(20.3 ～41.3岁)；发病年龄为25.3岁(15.7 ～35.5岁)；病程为3.3年(1.0～7.3年)；体质指数(BMI)为19.9 kg/m2(17.9 ～21.8 kg/m2).HbA1c为8.6％(6.9％ ～11.0％),234例(27.50％)患者达到相应年龄患者的血糖控制目标.13 ～ 19岁患者、家庭年收入低、未控制饮食和未接受糖尿病教育、病程短的患者血糖控制差.结论 广东省大多数T1DM患者血糖控制未达标,迫切需要采取措施改善这一现况.
    목적 료해광동성1형당뇨병(T1DM)환자혈당공제현상화상관인소.방법 재광동성21개지급시적89가삼급화이급의원수집T1DM환자적혈표본화림상자료.통과분석림상자료,료해영향혈당공제적인소.이당화혈홍단백(HbA1c)평개혈당공제수평,HbA1c통일재광동성당뇨병방치중심검측.결과 2010년8월6일지2011년5월25일공조사납입광동성851례T1DM환자.기중남408례,녀443례.환자년령적중위수위29.6세(20.3 ～41.3세)；발병년령위25.3세(15.7 ～35.5세)；병정위3.3년(1.0～7.3년)；체질지수(BMI)위19.9 kg/m2(17.9 ～21.8 kg/m2).HbA1c위8.6％(6.9％ ～11.0％),234례(27.50％)환자체도상응년령환자적혈당공제목표.13 ～ 19세환자、가정년수입저、미공제음식화미접수당뇨병교육、병정단적환자혈당공제차.결론 광동성대다수T1DM환자혈당공제미체표,박절수요채취조시개선저일현황.
    Objective To investigate the glycemic control and the related factors of type 1 diabetic patients in Guangdong Province.Methods Medical records and blood samples of type 1 diabetic patients were collected in 89 tertiary and secondary hospitals from all of the 21 cities in Guangdong Province.The clinical data were analyzed to explore the correlates of glycemic control.HbA1 c levels,measured in Guangdong Diabetes Center,were used to assess glycemic control.Results 851 patients were enrolled from August 6,2010 to May 25,2011.There were 408 males and 443 females.The median(interquartile range)age was 29.6 years(20.3-41.3 years).The onset age of diabetes was 25.3 years(15.7-35.5years).The disease duration was 3.3 years(1.0-7.3 years).The BMI was 19.9 kg/m2(17.9-21.8 kg/m2).HbA1 c levels were 8.6％(6.9％-11.0％)and only 234(27.50％)patients reached the agespecific target levels.Correlates with poorer glycemic control were 13-19 years old(vs 7-12 and ≥20years old),lower household income,not on dietary intervention,never accepting diabetic education and shorter diabetic duration.Conclusion The majority of Guangdong type 1 diabetic patients did not achieve target values for glycemic control,indicating an urgent need for comprehensive management to improve glycemic control.
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