糖尿病患者糖化血红蛋白检测的临床意义  

Clinical Significance of HbA1c Testing in Patients with Type 2 Diabetes Mellitus

作　　者：陈建莉[1] 刘秀英[1] 蒙华[1] 

机构地区：[1]新疆石河子市人民医院,新疆石河子832000

出　　处：《地方病通报》2010年第5期101-102,104,共3页Endemic Diseases Bulletin

摘　　要：目的了解糖化血红蛋白(HbA1 c)的与糖尿病患者血糖水平、糖尿病并发症的发生以及院内感染的关系。方法 143例2型糖尿病患者按HbA1 c水平分为3组,分别检测血压和血糖、糖化血红蛋白等,同时对有无糖尿病并发症和院内感染进行评价。结果随HbA1 c水平升高糖尿病并发症的发生率和院内感染率随之升高,共58例糖尿病患者发生院内感染,感染率为40.56%,且各组感染均以肺部感染、泌尿系感染和皮肤感染为主。结论检测血液中糖化血红蛋白对2型糖尿病患者诊治具有指导意义。Objective To know the relationship among glycosylated hemoglobin（HbA1c） and blood glucose and complications of diabetes mellitus and nosocomial infection in patients with type 2 diabetes mellitus.Methods One hundred and forty-three cases with type 2 diabetes mellitus were divided into three groups according to HbA1c levels to measure blood pressure and level of fasting blood glucose,glycosylated hemoglobin Ac.Evaluation on the complication and the nosocomial infection were carried out.Results With the HbA1c levels increasing,the incidence rates of the complications and nosocomial infection elevated accordingly.There were totally 58 cases with nosocomial infection with the rate of 40.56%.The infections concentrated on pulmonary,urinary system and skin.Conclusions Testing the level of HbA1c is important for the patients with type 2 diabetes mellitus in diagnosis and treatment.

关 键 词：糖化血红蛋白 糖尿病 血糖 院内感染 

分 类 号：R587.1[医药卫生—内分泌] R446[医药卫生—内科学]