社区糖尿病慢性并发症检出率及其影响因素  

Study on the detection rate of chronic complications of diabetes mellitus and its influencing factors in the community

作　　者：徐幽琼[1,2] 郑能雄[1] 王春兰[1] 郑高[1] 许榕仙[2] 

机构地区：[1]福建省福州市疾病预防控制中心地方病与慢性病防治科,福建省福州350004 [2]福建医科大学公共卫生学院营养与食品卫生教研室

出　　处：《中国慢性病预防与控制》2014年第1期1-4,共4页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：福建省福州市科技局重点项目资助(2008-S-84)

摘　　要：目的探讨社区糖尿病患者慢性并发症的检出率、防治情况及发生的影响因素,为糖尿病社区干预提供基线资料。方法按照简单随机抽样原则,选取2011年福州市慢性病综合防治试点社区糖尿病现况调查资料中已确诊的糖尿病患者627例,根据有无糖尿病慢性并发症分为两组,即有糖尿病并发症患者组(DCP)413例和无并发症患者组(nonDCP)214例,比较两组人群知晓、治疗和控制情况以及知识来源,并建立logistic回归分析模型进行糖尿病并发症影响因素分析。结果 65.87%的糖尿病患者均有不同类型糖尿病慢性并发症,以高血压检出率最高,其次是血脂异常;DCP组知晓率(69.5%)明显高于non-DCP组(58.4%),而控制率(8.7%)低于non-DCP组(14.5%);多因素logistic回归分析结果显示,糖尿病病程<4年、空腹血糖<7.0 mmol/L、HbA1C<6.0%、步行时间>280 min/周、遵医行为、水>1 200 ml/d、碳水化合物<250 g/d和盐<6 g/d均与糖尿病慢性并发症发生呈负相关,年龄>50岁、体质指数(BMI)>24.0 kg/m2、A型性格和动物油摄入量>25 g/d均与糖尿病慢性并发症发生呈正相关。结论福州市社区糖尿病并发症检出率高,防治情况不佳,糖尿病并发症的发生与生活方式关系密切。Objective To explore the detection rate of chronic complications of diabetes mellitus （DM） and the influencing factors, and to provide the basic data for intervening in DM of community. Methods The simple random sampling method was used to select 627 cases with DM from data of the Pilot Project of Community Prevention and Control of Chronic Disease in Fuzhou City, 627 cases with DM were divided into two groups according to complications： DCP group （413 cases） and non-DCP group （214 cases）. Awareness, treatment and control rates between the two groups were compared. Logistic regression analysis was used to analyze the influencing factors of DM complications. Results The results indicated that 65.87% of the DM patients had complications. The detection rate of hypertension was the highest, the detection rate of dyslipidemia came second. The awareness rate （69.5%） in DCP group was significantly higher than that （58.4%） in non-DCP group, but the control rate （8.7%） in DCP group was significantly lower than that （14.5%） in non-DCP group. The multi factor regression analysis showed DM duration （〈4 years）, fasting plasma glucose （〈7.0 mmol/L）, HbAlc （〈6.0%）, walking time （〉280 min/w）, compliance behavior, water intake （1 200 ml/d）, carbonhydrates intake （〈250 g/d） and salt intake （〈6 g/d） were correlated negatively with chronic complications of DM, age （〉50 years old）, BMI （〉24.0 kg/m2）, A type of personality and animal oil intake （〉25 g/d） were correlated positively with chronic complications of DM. Cortelnsion The detected rate of DM complications in the community is high and the occurrence of DM complications is related with life style.

关 键 词：社区 糖尿病 并发症 检出率 影响因素 

分 类 号：R587.1[医药卫生—内分泌]