中国退休军人2型糖尿病患者心血管病风险控制现状  

A cross-sectional questionnaire survey of cardiovascular disease risk control in Chinese retired military cadres with type 2 diabetes mellitus

作　　者：路菊明 田慧[1] 邹大进[2] 许樟荣 姚合斌[4] 关小宏[5] 徐向进[6] 李全民 祝开思 梁琳琅[9] 王坚[10] 姜兆顺[11] 向光大[12] 邓爱民[13] 姬秋和[14] 吕肖锋[15] 刘耀辉[16] 鞠海兵[17] 罗晓红[18] 唐海平[16] 母义明[1] 潘长玉[1] 

机构地区：[1]解放军总医院内分泌科,北京100853 [2]北京军医大学长海医院内分泌 [3]解放军三0六医院内分泌科 [4]解放军海军总医院内分泌科 [5]空军总医院内分泌科 [6]解放军南京军区福州总医院内分泌科 [7]二炮总医院内分泌科 [8]解放军第三O五医院内分泌科 [9]沈阳军区总医院内分泌科 [10]解放军南京军区总医院内分泌科 [11]济南军区总医院内分泌科 [12]解放军广州军区武汉总医院内分泌科 [13]广州军区总医院内分泌科 [14]解放军第四军医大学西京医院内分泌科 [15]北京军区总医院内分泌科 [16]解放军兰州军区乌鲁木齐总医院内分泌科 [17]成都军区昆明总医院内分泌科 [18]兰州军区总医院内分泌科

出　　处：《中华糖尿病杂志》2013年第12期740-744,共5页CHINESE JOURNAL OF DIABETES MELLITUS

摘　　要：目的了解中国退休军人2型糖尿病患者血糖、血压、血脂的控制率及抗血小板的治疗现状。方法2012年3至8月对我国18个地区军队门诊部或干休所进行问卷调查，收集军队退休干部中2型糖尿病患者的一般资料、病史、心血管病危险因素、相关实验室检查结果以及治疗方案等资料。分析统计受试者血糖、糖化血红蛋白（HbAlC）、血压和血脂的控制率及阿司匹林的应用率。对影响综合达标的相关因素进行logistic回归分析。结果共收回有效问卷4976份。受访者均为确诊的2型糖尿病患者（男性占77．0％），其中46．0％的受访者自我血糖监测频率≥1次／周，16．5％监测频率〈1R／月；以最近一次检测的HbAlc值统计，HbAlc〈7．0％的控制率为45．3％；受访者血压控制率（〈140／80mmHg，1mmHg=0．133kPa）为33．9％；低密度脂蛋白胆固醇（LDL-C）控制率（〈2．6mmoVL）为63．3％，血压、血糖、血脂三项综合控制率为10．0％。59．8％的受访者有心脑血管病史，其中阿司匹林使用率为64．3％；无心脑血管病史受访者中，心血管病高危患者（50岁以上男性或60岁以上女性）占94．1％，其阿司匹林使用率为56．7％。使用阿司匹林有助于提高综合达标率（比值比=1．382，95％可信区间：1．131—1．688，P=0．002）。结论中国退休军人系统管理的2型糖尿病患者有良好的综合管理制度，定期查体、监测血糖、血压、血脂、应用阿司匹林，四项达标率高，这将有利于预防糖尿病并发症。[ Abstract] Objective To investigate the current status of the blood glucose, blood pressure and lipid control and antiplatelet therapy in Chinese retired military cadres with type 2 diabetes mellitus （T2DM）. Methods This was a cross-sectional, multicenter observational study. The questionnaires were dispatched from March to August in 2012 to out-patient departments of military medical centers or cadre relaxation clubs in 18 provinces across China, to collect data about demographic information, medical history, cardiovascular disease （CVD） risk factors, and recent laboratory measurements and medication werecollected among retired military cadres with T2DM. The impact factors of comprehensive standard reaching rate was analyzed by using logistic regression analysis. Results A total of 4976 eligible questionnaires were collected. All patients were diagnosed with T2DM, 77.0% of them were male, and 46. 0% reported self- monitoring blood glucose once or more a week, whereas 16. 5% reported less than once a month. According to the recent laboratory measurement, 45.3%, 33.9% and 63.3% of patients achieved the individual target goals of blood glucose （glycated hemoglobin Alc（HbAlc） 〈 7.0% ）, blood pressure （ 〈 140/80 mm Hg, 1 mm Hg =0. 133 kPa） and blood lipid （low density lipoprotein cholesterol （LDL-C） 〈 2.6 mmol/L）, respectively, and only 10. 0% achieved all the standards. In all patients, 59.8% reported a history of CVD or stroke/transient ischemic attack（TIA）, and 64. 3% of them took aspirin for secondary prevention. In patients without CVD or stroke/TIA, 94. 1% were at moderate or high risk of CVD （ men aged 〉 50 years or women aged 〉60 years） , whereas 56. 7% of them took aspirin for primary prevention. The use of aspirin was beneficial to reach the comprehensive standard （ OR = 1. 382, 95% CI： 1. 131-1. 688, P = 0. 002 ）. Conclusions The control rates of blood glucose, blood lipids, blood pressure and aspirin use are relatively high in Chinese retired military c

关 键 词：糖尿病 2型 流行病学研究 中国退休军人 

分 类 号：R543[医药卫生—心血管疾病]