中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
34期
28-30
,共3页
邵致格%袁群%韦亚萍%丁康钰%盛丽
邵緻格%袁群%韋亞萍%丁康鈺%盛麗
소치격%원군%위아평%정강옥%성려
糖尿病/2型%胰岛素%认知%术前准备
糖尿病/2型%胰島素%認知%術前準備
당뇨병/2형%이도소%인지%술전준비
Diabetes Mellitus/Type 2%Insulin%Cognition%Preoperative Preparation
目的:调查口服药治疗中的2型糖尿病患者对胰岛素的认知状况。方法择期手术的糖尿病患者230人,通过问卷确定胰岛素认知偏差组124人;认知相对客观的对照组106人。结果偏差组占54%,其中的女性、高龄、低教育程度和居住在农村的比例高于对照组,曾经应用过胰岛素的比例低于对照组。偏差组的平均糖化血红蛋白高于对照组,术前血糖准备时间长于对照组,发生低血糖比例的差异无统计学意义。结论口服药物治疗中的糖尿病患者仍有54%的人存在胰岛素认知偏差;他们的血糖控制较差,术前血糖准备的时间较长。
目的:調查口服藥治療中的2型糖尿病患者對胰島素的認知狀況。方法擇期手術的糖尿病患者230人,通過問捲確定胰島素認知偏差組124人;認知相對客觀的對照組106人。結果偏差組佔54%,其中的女性、高齡、低教育程度和居住在農村的比例高于對照組,曾經應用過胰島素的比例低于對照組。偏差組的平均糖化血紅蛋白高于對照組,術前血糖準備時間長于對照組,髮生低血糖比例的差異無統計學意義。結論口服藥物治療中的糖尿病患者仍有54%的人存在胰島素認知偏差;他們的血糖控製較差,術前血糖準備的時間較長。
목적:조사구복약치료중적2형당뇨병환자대이도소적인지상황。방법택기수술적당뇨병환자230인,통과문권학정이도소인지편차조124인;인지상대객관적대조조106인。결과편차조점54%,기중적녀성、고령、저교육정도화거주재농촌적비례고우대조조,증경응용과이도소적비례저우대조조。편차조적평균당화혈홍단백고우대조조,술전혈당준비시간장우대조조,발생저혈당비례적차이무통계학의의。결론구복약물치료중적당뇨병환자잉유54%적인존재이도소인지편차;타문적혈당공제교차,술전혈당준비적시간교장。
Objective To investigate the insulin cognition of patients with type 2 diabetes mellitus (T2DM) waiting for selective operations. Methods A total of 230 inpatients with type 2 diabetes mellitus were investigated, including 124 patients with improper insulin cognition (Group Improper Cognition, GIC) and 106 patients with proper insulin cognition (Group Proper Cognition, GPC) as control. Results 54%inpatients with type 2 diabetes mellitus treated with oral antidiabetic drugs (OAD) had improper insulin cognition. GIC had higher HbA1c%(8.26±1.56 vs 7.68±1.55, P=0.005), more time of preoperative preparation [(4.74±1.29) days vs (3.87±1.25) days, P=0.000], higher proportions of female [(85/124) vs (57/106), P=0.031], aged patients [(70/124) vs (45/106), P=0.047], lower educational level [(41/124) vs (20/106), P=0.023], rural inhabitant [(55/124) vs (31/106), P=0.026] and less previous insulin application [(21/124) vs (36/106), P=0.005] than those of GPC. T2DM family history [(31/124) vs (34/106), P=0.298] and hypoglycemia occurrence [(18/124) vs (7/106), P=0.087] were not statistically significant between the two groups. Conclusions There were still 54%inpatients with type 2 diabetes mellitus treated with OAD having improper insulin cognition. They were of bad blood glucose control and needed more time to control blood glucose treated with insulin for preoperative preparation.