摘要
【目的】了解上海市浦东新区金杨社区糖尿病足患者发生的相关因素及现况调查。【方法】随机选择2019年1月—2019年12月社区管理登记的1400例糖尿病筛查患者为对象,所有患者均完成足部筛查,根据是否发生糖尿病足分为对照组(n=159例)和观察组(n=1241例)。查阅相关病历资料,记录患者性别、年龄、长期吸烟史、病程、外伤感染史、空腹血糖、餐后2 h血糖(2hPG)、糖化血红蛋白(HbAlc)、血脂水平、高学报病史、糖尿病肾病、糖尿病视网膜病变等,对上述可能的相关因素进行单因素和多因素logistic分析。【结果】单因素结果表明:糖尿病足发生与性别、年龄、外伤感染史、病程、血脂水平均无统计学意义(P>0.05);与长期吸烟史、空腹血糖、2hPG、HbAlc、高血压病史、糖尿病肾病、糖尿病视网膜病变都具有统计学意义(P<0.05);多因素logistic分析结果表明:糖尿病足发生率与性别、年龄、外伤感染史、病程、血脂水平无统计学意义(P>0.05);与长期吸烟史、空腹血糖、2hPG、HbAlc、高血压病史、糖尿病肾病、糖尿病视网膜病变具有统计学意义(P<0.05)。【结论】金杨社区中糖尿病足发病相关因素较多,应根据相关因素采取相应的措施干预,改善患者血糖水平,降低糖尿病足发生率。
[Objective]To determine the current situation of patients with diabetic foot and influencing factors in Jinyang community of Shanghai.[Methods]A total of 1400 patients with diabetes registered in community management from January 2019 through December 2019 were randomly selected for survey. All patients completed the screen for diabetic foot and then were divided into control group(n=159)and observation group(n=1 241)according to the occurrence of diabetic foot. Patient’s demographics and medical history were recorded,including gender,age,history of long-term smoking,course of disease,history of trauma infection,fasting blood glucose,2 h postprandial blood glucose(2 hPG),glycosylated hemoglobin(HbAlc),blood lipid level,history of hyperglycemia,diabetic nephropathy,and diabetic retinopathy. Univariate and multivariate logistic analyses were performed with these possible influencing factors.[Results]Univariate analysis showed that the incidence of diabetic foot was not significantly associated with gender,age,history of trauma infection,course of disease or blood lipid level(P>0.05),whereas had statistical significance with long-term smoking history,fasting blood glucose and 2-hour diabetes mellitus PG,HbAlc,history of hypertension,diabetic nephropathy and diabetic retinopathy(P<0.05). Multivariate logistic analysis showed that the incidence of diabetic foot was not statistically associated with gender,age,history of trauma infection,course of disease or blood lipid level(P>0.05);it was significantly associated with long-term smoking history,fasting blood glucose and 2-hour diabetes mellitus PG,HbAlc,history of hypertension,diabetic nephropathy and diabetic retinopathy(P<0.05).[Conclusion]There are multiple influencing factors of diabetic foot in Jinyang community. We should take corresponding measures to control the blood glucose level of diabetic patients and reduce the incidence of diabetic foot.
作者
刘伟杰
宋道平
LIU Wei-jie;SONG Dao-ping(Jinyang Community Health Service Center,Pudong New Area,Shanghai 200136,China)
出处
《上海预防医学》
CAS
2021年第8期758-761,共4页
Shanghai Journal of Preventive Medicine
基金
上海市浦东新区卫生系统优秀社区适宜人才培养计划(PWRs2017-06)。
关键词
糖尿病筛查
糖尿病足
流行状况
现况调查
diabetes screening
diabetic foot
epidemic status
on-site investigation
