CAJ | 학술논문

目的了解保定市社区2型糖尿病糖化血红蛋白(HbA1c)达标率及影响因素.方法随机整群抽取保定市3个社区,应用横断面研究方法调查45岁以上居民中已经确诊的2型糖尿病患者HbA1c控制情况.结果社区内糖尿病HbA1c达标者87例,占18.6％.经过百分率的趋势性检验,糖尿病并发大血管和微血管病变与HbA1c水平呈正趋势,随着HbA1c升高,大血管病变患病率和微血管病变患病率均增加(均P＜0.05).Logistic回归分析显示,治疗措施和对防治知识的了解程度是影响达标的主要因素.结论社区糖尿病HbA1c控制达标率低,理解并接受胰岛素治疗可能是降低HbA1c的主要方式之一.
목적 료해보정시사구2형당뇨병당화혈홍단백(HbA1c)체표솔급영향인소.방법 수궤정군추취보정시3개사구,응용횡단면연구방법조사45세이상거민중이경학진적2형당뇨병환자HbA1c공제정황.결과 사구내당뇨병HbA1c체표자87례,점18.6％.경과백분솔적추세성검험,당뇨병병발대혈관화미혈관병변여HbA1c수평정정추세,수착HbA1c승고,대혈관병변환병솔화미혈관병변환병솔균증가(균P＜0.05).Logistic회귀분석현시,치료조시화대방치지식적료해정도시영향체표적주요인소.결론 사구당뇨병HbA1c공제체표솔저,리해병접수이도소치료가능시강저HbA1c적주요방식지일.
Objective To investigate the control rate and influence factors of glycolated hemoglobin A1C(HbA1c) of type 2 diabetes in Baoding city community.Methods A cluster-randomized study was conducted and three communities were selected randomly.The study involved all of people aged 45 years old and above in the three communities.The type 2 diabetic patients diagnosed before,were recorded through the cross section study.Then the questionnaire was finished.All diabetic plasma HbA1c was determined by HPLC method.Results Eighty-seven patients with HbA1c≤7％ were only 18.6％ in all diabetic patients.As the plasma level of HbA1c increased,occurrences of macroangiopathy and microangiopathy were both increased,by the trend test.Logistic regression analysis showed that therapeutic measures and knowledge about diabetes were main influence factors of achieving the hemoglobin Alc target of ＜7％ in type 2 diabetes.Conclusion There were low HbA1c control in diabetic patients of Baoding community,and knowing diabetes well and receiving insulin treatment might decrease HbA1c level apparently.