中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2012年
19期
7-10
,共4页
高清歌%王奕%史超%陈榕%梁长秀%陆燕蓉%周勇
高清歌%王奕%史超%陳榕%樑長秀%陸燕蓉%週勇
고청가%왕혁%사초%진용%량장수%륙연용%주용
糖尿病,2型%血糖自我监测%链式分层管理%影响因素
糖尿病,2型%血糖自我鑑測%鏈式分層管理%影響因素
당뇨병,2형%혈당자아감측%련식분층관리%영향인소
Diabetes mellitus,type 2%Blood glucose self-monitoring%Hierarchical chain management model%Influencing factors
目的 探讨链式分层管理模式对糖尿病患者血糖控制情况及其影响因素.方法 2007年始建立糖尿病患者健康管理档案库并进行链式分层管理,截至2011年共陆续管理2型糖尿病患者1010例,分析糖尿病患者血糖达标情况,运用多因素非条件Logistic回归分析血糖控制的影响因素.结果 1010例2型糖尿病患者糖化血红蛋白(HbAlc)为(8.21±2.70)％,血糖达标者487例,占48.22％,血压达标者303例,占30.00％,血脂达标者245例,占24.26％,血压、血脂、血糖同时达标者76例,占7.52％.多因素分析结果显示,职业(OR=2.521,95％CI:1.871～3.397)、文化程度(OR=1.890,95％ CI:1.642～2.174)、病程(OR=1.035,95％CI:1.016～1.055)、收缩压(OR=1.016,95％ CI:1.007～1.025)、三酰甘油(OR=1.204,95％ CI:1.063～1.365)是影响血糖控制的危险因素(P值均＜ 0.01).结论 链式分层管理模式有助于2型糖尿病患者的血糖控制,应结合血压、血脂、糖尿病病程等相关危险因素对2型糖屎病患者进行综合防治.
目的 探討鏈式分層管理模式對糖尿病患者血糖控製情況及其影響因素.方法 2007年始建立糖尿病患者健康管理檔案庫併進行鏈式分層管理,截至2011年共陸續管理2型糖尿病患者1010例,分析糖尿病患者血糖達標情況,運用多因素非條件Logistic迴歸分析血糖控製的影響因素.結果 1010例2型糖尿病患者糖化血紅蛋白(HbAlc)為(8.21±2.70)％,血糖達標者487例,佔48.22％,血壓達標者303例,佔30.00％,血脂達標者245例,佔24.26％,血壓、血脂、血糖同時達標者76例,佔7.52％.多因素分析結果顯示,職業(OR=2.521,95％CI:1.871～3.397)、文化程度(OR=1.890,95％ CI:1.642～2.174)、病程(OR=1.035,95％CI:1.016～1.055)、收縮壓(OR=1.016,95％ CI:1.007～1.025)、三酰甘油(OR=1.204,95％ CI:1.063～1.365)是影響血糖控製的危險因素(P值均＜ 0.01).結論 鏈式分層管理模式有助于2型糖尿病患者的血糖控製,應結閤血壓、血脂、糖尿病病程等相關危險因素對2型糖屎病患者進行綜閤防治.
목적 탐토련식분층관리모식대당뇨병환자혈당공제정황급기영향인소.방법 2007년시건립당뇨병환자건강관리당안고병진행련식분층관리,절지2011년공륙속관리2형당뇨병환자1010례,분석당뇨병환자혈당체표정황,운용다인소비조건Logistic회귀분석혈당공제적영향인소.결과 1010례2형당뇨병환자당화혈홍단백(HbAlc)위(8.21±2.70)％,혈당체표자487례,점48.22％,혈압체표자303례,점30.00％,혈지체표자245례,점24.26％,혈압、혈지、혈당동시체표자76례,점7.52％.다인소분석결과현시,직업(OR=2.521,95％CI:1.871～3.397)、문화정도(OR=1.890,95％ CI:1.642～2.174)、병정(OR=1.035,95％CI:1.016～1.055)、수축압(OR=1.016,95％ CI:1.007～1.025)、삼선감유(OR=1.204,95％ CI:1.063～1.365)시영향혈당공제적위험인소(P치균＜ 0.01).결론 련식분층관리모식유조우2형당뇨병환자적혈당공제,응결합혈압、혈지、당뇨병병정등상관위험인소대2형당시병환자진행종합방치.
Objective To explore the hierarchical chain management model in blood glucose control and its influence factors in patients with diabetes mellitus.Methods Health management database of diabetic patients was established in 2007 and managed by hierarchical chain management.The number of the patients reached to 1010 till 2011.The blood glucose control of diabetic patients was analyzed and its influence factors were analyzed by multivariate unconditional Logistic regression method.Results The concentration of glycosylated hemoglobin( HbA1c ) of 1010 patients with type 2 diabetes was (8.21 ±:2.70)％.Four hundred and eighty-seven cases (48.22％) reached the blood glucose standard,303 cases (30.00％)reached the blood pressure standard,245 cases (24.26％) reached the blood lipids standard,and 76 cases (7.52％) reached all three standards.Multivariate analysis showed that occupation (OR =2.521,95％ CI:1.871 - 3.397),education level (OR =1.890,95％ CI:1.642 - 2.174),disease course (OR =1.035,95％CI:1.016 -1.055),systolic pressure (OR =1.016,95％ CI:1.007 -1.025) and triglyceride (OR =1.204,95％CI:1.063 - 1.365) were the risk factors of blood glucose control (P ＜0.01).Conclusions Hierarchical chain management model is helpful for the blood glucose control in patients with type 2 diabetes.The comprehensive control and treatment of type 2 diabetes should be taken combined with related risk factors,such as blood pressure,blood lipids and diabetes disease course.
