摘要
目的 探讨肥胖1型糖尿病学龄儿童体质量指数(BMI)与血糖控制水平的关系。方法 选取2015年1月至2017年6月收治的1型糖尿病儿童160例,对患儿及父母一般情况进行调查,计算患儿BMI,采用单因素分析患儿血糖控制水平的相关因素,采用logistic回归分析患儿血糖控制水平的影响因素。结果 160例1型糖尿病学龄儿童血糖控制达标113例,达标率为70.63%,单因素分析显示,年龄、母亲文化程度、改变生活方式、初始BMI及BMI降低是肥胖1型糖尿病学龄儿童血糖控制达标的相关因素,初始BMI是肥胖1型糖尿病学龄儿童血糖控制达标的独立影响因素,改变生活方式、BMI降低是肥胖1型糖尿病学龄儿童血糖控制达标的保护性因素。结论 1型糖尿病学龄儿童血糖控制达标的相关因素较多,改变生活方式、合理控制体质量,降低BMI有利于肥胖1型糖尿病学龄儿童血糖的控制。
Objective To explore the relationship between body mass index (BMI)and blood glucose control in obese school-age children with type 1 diabetes. Methods A total of 160 children with type 1 diabetes who were admitted from January 2015 to June 2017 were selected as the study subjects. The general conditions of the children and parents were investigated and the BMI of the children was calculated. The factors related to the blood glucose control level of the children were analyzed by single factor analysis. Logistic regression analysis was used to analyze the factors influencing children’s blood glucose control level. Results Regarding the blood glucose control of 160 school-age children with type 1 diabetes, there were 113 children reached the standard of blood glucose control, with the compliance rate of 70.63%. Univariate analysis showed that age, maternal education, lifestyle change, initial BMI and BMI reduction were related factors for blood glucose control of obese school-age children with type 1 diabetes. The initial BMI was the independent influencing factor for the glycemic control of obese school-age children with type 1 diabetes. The lifestyle change and BMI reduction were protective factors for the blood sugar control of obese school-age children with type 1 diabetes. Conclusion There are many related factors in the blood glucose control of school-age children with type 1 diabetes. Changing lifestyle, controlling body quality and reducing BMI are beneficial to the control of blood glucose in obese school-age children with type 1 diabetes.
出处
《护理实践与研究》
2019年第15期20-22,共3页
Nursing Practice and Research
关键词
1型糖尿病
学龄儿童
血糖控制
体质量指数
Type 1 diabetes mellitus
School-age children
Blood glucose control
Body mass index
