CAJ | 학술논문

目的探讨社区住院2型糖尿病患者综合状况.方法以2007年5月1日至2008年12月31日在张家港澳洋医院住院的240例2型糖尿病患者为研究对象,应用统一的调查表,分别收集住院患者性别、病程、年龄、学历、职业、教育、身高、体质量、腰围、臀围、相关病史等.结果社区住院的2型糖尿病患者发病年龄(48.91±12.38)岁,男性发病年龄(46.32±12.08)岁,明显低于女性的(52.42±11.97)岁(P＜0.01),女性与男性的发病年龄构成比差异也有统计学意义,男性发病年龄提前.住院糖尿病患者的平均体质量指数为(24±3)kg/m2,住院患者多为工人与农民,受教育程度多为小学与中学.多元回归分析提示,发病年龄的相关危险因素是糖尿病家族史、高血压病史、男性、低学历.在社区住院患者初诊患者占28.3％,约三分之一的患者合并代谢综合征、高脂血症、高血压、脂肪肝.结论社区住院的2型糖尿病患者文化程度较低,需加强糖尿病教育.男性发病年龄较轻,对有糖尿病家族史、高血压病史的社区高危人群需进行糖尿病的早期筛查,以期防治糖尿病的发生与发展.
목적 탐토사구주원2형당뇨병환자종합상황.방법 이2007년5월1일지2008년12월31일재장가항오양의원주원적240례2형당뇨병환자위연구대상,응용통일적조사표,분별수집주원환자성별、병정、년령、학력、직업、교육、신고、체질량、요위、둔위、상관병사등.결과 사구주원적2형당뇨병환자발병년령(48.91±12.38)세,남성발병년령(46.32±12.08)세,명현저우녀성적(52.42±11.97)세(P＜0.01),녀성여남성적발병년령구성비차이야유통계학의의,남성발병년령제전.주원당뇨병환자적평균체질량지수위(24±3)kg/m2,주원환자다위공인여농민,수교육정도다위소학여중학.다원회귀분석제시,발병년령적상관위험인소시당뇨병가족사、고혈압병사、남성、저학력.재사구주원환자초진환자점28.3％,약삼분지일적환자합병대사종합정、고지혈증、고혈압、지방간.결론 사구주원적2형당뇨병환자문화정도교저,수가강당뇨병교육.남성발병년령교경,대유당뇨병가족사、고혈압병사적사구고위인군수진행당뇨병적조기사사,이기방치당뇨병적발생여발전.
Objective To investigate integrated status of community inpatients with type 2 diabetes mellitus.Methods 240 cases of type 2 diabetic patients in the Zhangjiagang Aoyang Hospital were included in the study from May 1,2007 to Dec 31,2008.A uniform questionnaire was applicated.Gender,disease duration,age,academic qualifications,occupation,education,height,weight,waist circumference,hip,relevant medical history and so on were collected.Results The onset age of inpatients with type 2 diabetes was (48.91 ± 12.38),onset age of male was(46.32 ±12.08),which was significantly lower than female (52.42 ± 11.97) (P ＜ 0.01).The onset age female and male proportion also had significant differences,age onset of male was in advance.The average body mass index was (24 ±3.47)kg/m2,most of the inpatients were workers and farmers,the level of education was primary and secondary.Multiple regression analysis hints,risk factor of onset age is the family history of diabetes,the history of hypertension,male,low academic qualifications.Percentage of newly diagnosed patients was 28.3％,about one-third in patients were with the metabolic syndrome,hyperlipidemia,high blood pressure,fatty liver.Conclusions Education level of the inpatients was lowe in the community,so strengthening diabetes education was required.The persons in the commuities who were male,or with the family history of diabetes,with high blood pressure history were of the communities require for early screening of diabetes mellitus,so the occurrence and development of diabetes woule be controlled.