北京市社区2型糖尿病患者糖化血红蛋白水平控制现状及其影响因素——北京社区糖尿病研究BCDS-3
북경시사구2형당뇨병환자당화혈홍단백수평공제현상급기영향인소——북경사구당뇨병연구BCDS-3
Current HbA1c status and its influencing factors of type 2 diabetes in Beijing communities: Beijing Community Diabetes Study-3
  • 万方数据
    中国糖尿病杂志 중국당뇨병잡지
    CHINESE JOURNAL OF DIABETES
    2010年 10期 752-755 ,共4页

    袁明霞%袁申元%傅汉菁%万钢%朱良湘%杨光燃%潘素芳%卜祥雷%张建东%杜雪平%李玉玲%季宇%谷晓宁%李月%崔学利%白薇%陈玉洁%王自明%朱庆生%高迎%柳德元%姬云涛%杨泽

    원명하%원신원%부한정%만강%주량상%양광연%반소방%복상뢰%장건동%두설평%리옥령%계우%곡효저%리월%최학리%백미%진옥길%왕자명%주경생%고영%류덕원%희운도%양택

    社区%糖化血红蛋白%糖尿病%文化程度 社區%糖化血紅蛋白%糖尿病%文化程度
    사구%당화혈홍단백%당뇨병%문화정도
    Community%HbA1c% Diabetes mellitus% Educational degre
    目的 了解北京社区2型糖尿病患者HbAlc水平控制现状,分析相关影响因素.方法 采用多级抽样方法,纳入北京市5个城区中15个社区卫生服务中心2477例2型糖尿病患者.全体参与专门培训后,按操作规范对患者进行体格检查及相关实验室检查,填写调查表.结果 (1)HbAlc<6.5%者788例,占31.8%;HbAlc≥6.5%者1689例,占68.2%.(2)不同HbAlc水平组,其年龄、糖尿病病程、体质指数、腰围、血压、空腹血糖、甘油三脂、总胆固醇、低密度脂蛋白胆固醇、经济水平、文化程度间差异均有统计学意义.(3)经调整相关因素影响后,文化程度对HbAlc水平有独立影响.结论 北京市社区2型糖尿病患者血糖控制达标现状不容乐观.血糖控制受到多种因素影响,其中文化程度低是独立危险因素.提示糖尿病社区管理应该更加注重个体化,对较低文化水平的患者人群应给予更多关怀.
    목적 료해북경사구2형당뇨병환자HbAlc수평공제현상,분석상관영향인소.방법 채용다급추양방법,납입북경시5개성구중15개사구위생복무중심2477례2형당뇨병환자.전체삼여전문배훈후,안조작규범대환자진행체격검사급상관실험실검사,전사조사표.결과 (1)HbAlc<6.5%자788례,점31.8%;HbAlc≥6.5%자1689례,점68.2%.(2)불동HbAlc수평조,기년령、당뇨병병정、체질지수、요위、혈압、공복혈당、감유삼지、총담고순、저밀도지단백담고순、경제수평、문화정도간차이균유통계학의의.(3)경조정상관인소영향후,문화정도대HbAlc수평유독립영향.결론 북경시사구2형당뇨병환자혈당공제체표현상불용악관.혈당공제수도다충인소영향,기중문화정도저시독립위험인소.제시당뇨병사구관리응해경가주중개체화,대교저문화수평적환자인군응급여경다관부.
    Objective To investigate current HbA1c status of type 2 diabetes in Beijing communities and to analyze its related risk factors. Methods Using multi-stage sampling，2477 type 2 diabetic patients from 15 Beijing urban communities were studied. The biochemical and physical examination were completed by general practitioners with special skill training. Results （1）The patients with HbA1c less than 6.5% were 788 (31.8%) cases, HbA1c more than or equal to 6.5% were 1689 (68.2%) cases. (2) There were significantly differences in age, duration of diabetes, body mass index (BMI), waist circumference, blood pressure, fasting blood glucose, triglyceride, total cholesterol, low-density lipoprotein cholesterol, economic status and educational degree among patients with different HbA1c level. (3) After adjustment for age, duration of diabetes, obesity and high cholesterol, the inadequte educational degree was an independent risk factor for the HbA1c level. Conclusions Current status of blood glucose control in patients with type 2 diabetes in Beijing communities is not optimistic. The inadequate educational degree is an independent risk factor. More efforts should be taken to the community-based individual management for diabetic patients, particularly for the low-literacy group.
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