摘要
目的了解2型糖尿病(T2DM)患者糖化血红蛋白(HbA1c)达标率及其影响因素现状,分析HbA1c控制与其慢性合并症、并发症的关系。方法采用横断面调查方法,收集T2DM现患病例353例。由经过统一培训的调查员采用问卷调查的方式收集患者一般信息、自我管理信息、治疗方案、合并症及并发症信息、血糖、HbA1c值等。根据HbA1c水平将患者分为达标组(HbA1c<6.5%,78例)和未达标组(HbA1c≥6.5%,275例)。结果①HbA1c达标率为22.1%;②未达标组合并脑血管疾病、并发糖尿病视网膜病变的比率明显高于达标组(P<0.001,P=0.008);③39.3%患者血糖监测频率≥4次/月,10.8%患者HbA1c监测频率≥3次/年,5.8%患者血糖监测频率≥4次/月且HbA1c监测频率≥3次/年,患者知晓糖尿病知识、控制饮食、规律运动的比例分别为35.4%、31.4%、53.1%。结论目前T2DM患者的HbA1c达标率低,HbA1c控制与糖尿病合并症、并发症有关,提示应通过加强个性化的糖尿病教育提高患者自我管理意识,尤其加强血糖、HbA1c监测力度及饮食和运动管理。
Objective To evaluate glycosylated hemoglobin A1c（HbA1c） control and its influencing factors in type 2 diabetic mellitus（T2DM） patients,and analyze the association of HbA1c control with diabetic complications. Methods A cross-sectional study was carried out in 353 T2DM outpatients and inpatients from our hospital. A questionnaire interview was used by trained surveyors to collect data on general characters,self-management,therapy,complications,blood glucose and HbA1c. The patients were divided into group A （HbA1c6.5%） and group B（HbA1c≥6.5%）. Results ① Group A accounted for 22.1%. ②The prevalence rates of cerebrovascular diseases and diabetic retinopathy were significantly higher in group B than in group A（P0.001,P=0.008,respectively）. ③The rates of blood glucose examination（≥4 times per month） and HbA1c examining（≥3 times per year） were 39.3% and 10.8% respectively,and only 5.8% of the patients accepted the above two mentioned examinations. The rates of patients who were knowledgeable about DM,controlled diet and took regular exercises were 35.4%,31.4% and 53.1%,respectively. Conclusion The present rate of good HbA1c control was low in T2DM patients,which can be associated with the occurrence of diabetic complications. The current situation of self-management is not satisfactory,so it is necessary to have more rigorous individual diabetic health education to improve HbA1c control,especially in the management of monitoring blood glucose,examining HbA1c,diet control and regular exercises.
出处
《山东大学学报（医学版）》
CAS
北大核心
2010年第1期12-16,共5页
Journal of Shandong University:Health Sciences
关键词
2型糖尿病
糖化血红蛋白
达标
影响因素
Type 2 diabtetes mellitus
Glycosylated hemoglobin
Good control
Influencing factors
