摘要
目的了解无锡市梁溪区社区2型糖尿病患者(T2DM)踝肱指数(ABI)异常情况及其影响因素。方法采用方便抽样方法于2018年4-10月从梁溪区12个街道中选取社区管理的T2DM患者为研究对象。采用问卷调查、体格检查、实验室检测和临床检查收集患者的基本信息、体质指数(BMI)、空腹血糖值和ABI等。采用多因素无序多分类Logistic回归模型分析ABI异常的影响因素。结果共调查T2DM患者2 235例,年龄为(67.74±7.85)岁,病程为(10.25±7.38)年。检出低ABI 210例,占9.40%;正常ABI 1 972例,占88.23%;高ABI 53例,占2.37%。多因素无序多分类Logistic回归分析结果显示,收缩压(OR=1.021,95%CI:1.013~1.029)、年龄(OR=1.081,95%CI:1.059~1.105)、病程(OR=1.023,95%CI:1.004~1.041)和规律运动(OR=0.499,95%CI:0.366~0.681)是低ABI发生的影响因素;BMI (OR=1.120,95%CI:1.034~1.213)是高ABI发生的影响因素。结论梁溪区社区T2DM患者ABI异常率较高,收缩压、年龄、病程、BMI和是否规律运动是ABI异常的影响因素。
Objective To investigate the prevalence and influencing factors of abnormal ankle-branchial index(ABI) among community diabetic patients in Liangxi District of Wuxi. Methods From April to October 2018, the community patients with type 2 diabetes mellitus(T2 DM) were selected from 12 streets in Liangxi District by convenient sampling method. The general information, body mass index(BMI), fasting blood glucose and ABI of the patients were collected by questionnaire survey,physical examination and laboratory test. The influencing factors for ABI abnormality were analyzed by multinomial logistic regression models. Results A total of 2 235 patients with T2 DM were investigated,with an average age of(67.74±7.85) years old and an average course of disease of(10.25 ±7.38) years. There were 210 cases(9.40%) of low ABI, 1 972 cases(88.23%) of normal ABI,and 53 cases(2.37%) of high ABI. The results of multinomial logistic regression analysis showed that systolic blood pressure(OR=1.021, 95% CI: 1.013-1.029), age(OR=1.081, 95% CI: 1.059-1.105), course of disease(OR=1.023,95%CI:1.004-1.041) and regular exercise(OR=0.499,95%CI:0.366-0.681) were influencing factors for low ABI;BMI(OR=1.120,95%CI:1.034-1.213) was a risk factor for high ABI. Conclusions The prevalence of abnormal ABI is high among community patients with T2 DM in Liangxi District. Systolic blood pressure, age, course of disease, BMI and regular exercise are the influencing factors for ABI abnormality.
作者
杨菲飞
张聪
陈鑫
沈晓文
YANG Feifei;ZHANG Cong;CHEN Xin;SHEN Xiaowen(Liangxi Center for Disease Control and Prevention,Wuxi,Jiangsu 214011,China)
出处
《预防医学》
2020年第1期4-8,共5页
CHINA PREVENTIVE MEDICINE JOURNAL
基金
江苏省预防医学及血地寄防科研课题(Y2018009)
无锡市卫生计生委科研项目(MS201837)
关键词
2型糖尿病
踝肱指数
影响因素
type 2 diabetes mellitus
ankle-branchial index
influencing factors
