2型糖尿病患者糖化血红蛋白达标率调查及影响因素分析  

Investigation of glycosylated hemoglobin A1c control and its influence factors in type 2 diabetic patients

作　　者：王翠萍[1] 白彬[2] 张如意[2] 

机构地区：[1]宁夏医科大学,宁夏银川750004 [2]宁夏医科大学总医院,宁夏银川750004

出　　处：《宁夏医学杂志》2012年第9期863-865,共3页Ningxia Medical Journal

摘　　要：目的通过对糖尿病门诊就诊患者的临床情况进行调查,分析影响2型糖尿病(T2DM)糖化血红蛋白(HbA1c)达标的因素,探讨如何在临床工作中做好血糖管理,以提高糖尿病患者的整体控制水平。方法采用横断面调查的方法,收集T2DM患者400例血糖控制及其并发症情况。结果 HbA1c总达标率仅为21.75%,且随着病程的延长,T2DM患者HbA1c达标率降低。目前约有半数以上T2DM患者血压及血脂控制未达标,且并发症患病率高。结论目前T2DM的患者的HbA1c达标率低,HbA1c与患者病程、自我管理及并发症情况相关,提示临床医生应根据患者的病程及个体特点,选用合适的治疗方案,并提高患者自我管理意识。Objective To investigate glycosylated hemoglobin AI c （ HbAI c） control and its influencing factors in type 2 diabetic mellitus （T2DM） patients, and analyze the association of HbAlc control with diabetic complications and explore how to do clinical work in order to improve the overall level of control of diabetic patients. Methods A cross - sectional survey method to collect and ana- lyze 400 cases of blood glucose control of the endocrine specialist out - patient of the treatment in patients with T2DM and its complica- tions. Results The HbAI c overall compliance rate was 21.75% ; With the extension of the course, the lower HbA1 c compliance rate of patients with type 2 diabetes ; More than about hatf of patients with blood pressure and lipid control in type 2 diabetes did not up to the standard; There was a high prevalence of diabetes complications. Conclusion The present rate of good HbA1 c control is low in T2DM patients, duration of disease, self managements and complications are related to HbA1 c, so the clinicians should according to the disease course of patient and individual characteristics, appropriate choice of treatment options, and improve patients＇ sense of self- management.

关 键 词：2型糖尿病 糖化血红蛋白 达标率 

分 类 号：R587.1[医药卫生—内分泌]