CAJ | 학술논문

目的了解上海市中心城区江宁路街道所辖社区30岁以上已诊断2型糖尿病者治疗达标率情况.方法以静安区江宁路街道所辖社区642例30岁以上已诊断2型糖尿病患者为调查对象,依据国际糖尿病联盟西太平洋地区糖尿病治疗控制建议分析该群患者的治疗控制情况.结果空腹血糖4.4～6.1 mmol/L的比率为17.4%(112/642),糖化血红蛋白(HbAlc)<6.5%的比率为37.5%(241/642).收缩压<130mm Hg(1 mm Hg=0.133 kPa)的比率为23.8%(153/642),舒张压<80 mm Hg的比率为18.1%(116/642),血压<130/80 mm Hg的比率为14.6%(94/642).总胆固醇<4.5 mmol/L的比率为21.7%(139/642),甘油三酯<1.5 mmol/L的比率为46.6%(299/642),低密度脂蛋白胆固醇<2.5 mmol/L的比率为23.7%(152/642),高密度脂蛋白胆固醇>1.1 mmol/L的比率为62.1%(399/642).将HbAlc<6.5%、血压<130/80 mm Hg及低密度脂蛋白胆固醇<2.5 mmol/L定义为全面达标,全面达标率为2.6%(17/642).结论上海市中心城区30岁以上已诊断2型糖尿病者的全面达标率较低,应加强社区综合防治.
목적 료해상해시중심성구강저로가도소할사구30세이상이진단2형당뇨병자치료체표솔정황.방법 이정안구강저로가도소할사구642례30세이상이진단2형당뇨병환자위조사대상,의거국제당뇨병련맹서태평양지구당뇨병치료공제건의분석해군환자적치료공제정황.결과 공복혈당4.4～6.1 mmol/L적비솔위17.4%(112/642),당화혈홍단백(HbAlc)<6.5%적비솔위37.5%(241/642).수축압<130mm Hg(1 mm Hg=0.133 kPa)적비솔위23.8%(153/642),서장압<80 mm Hg적비솔위18.1%(116/642),혈압<130/80 mm Hg적비솔위14.6%(94/642).총담고순<4.5 mmol/L적비솔위21.7%(139/642),감유삼지<1.5 mmol/L적비솔위46.6%(299/642),저밀도지단백담고순<2.5 mmol/L적비솔위23.7%(152/642),고밀도지단백담고순>1.1 mmol/L적비솔위62.1%(399/642).장HbAlc<6.5%、혈압<130/80 mm Hg급저밀도지단백담고순<2.5 mmol/L정의위전면체표,전면체표솔위2.6%(17/642).결론 상해시중심성구30세이상이진단2형당뇨병자적전면체표솔교저,응가강사구종합방치.
Objective To understand treatment outcomes of patients diagnosed with type 2 diabetes aged over 30 years in Jiangninglu Neighborhood of downtown Shanghai. Methods Total 642 patients diagnosed as type 2 diabetes aged over 30 were investigated by cluster sampling in Jiangninglu Neighborhood of downtown Shanghai. Status of optimal control of diabetes in them was analyzed based on the recommendations proposed by International Diabetes Federation (IDF) for Western Pacific Region. Results and serum level of glycosylated hemoglobin Alc (HbAlc) of less than 6.5% was achieved in 37.5% (241/were achieved in 23.8% (153/642) and 18.1% (116/642) of them, respectively, and beth systolic and mmol/L was achieved in 21.7% (139/642) of all the participants investigated, triglyceride of less than 1.5 mmol/L in 46.6% (299/642), low-deusity lipoprotein-cholesterol (LDL-C) of less than 2.5 mmol/L in 23.7% (152/642) and high-density lipoprotein-cholesterol of greater than 1.1 mmol/L in 62.1% (399/of their blood glucose, blood pressure and serum LDL-C (defined as HbAlc less than 6.5%, blood pressure less than 130/80 mm Hg and LDL-C less than 2.5 retool/L). Conclusions Only 2.6% of all the patients diagnosed with diabetes aged over 30 in downtown Shanghai get optimal control of their blood glucose, blood pressure and serum lipid, so comprehensive prevention and control for diabetes shall be strengthened for them at community-level of urban areas.