北京某大学社区2型糖尿病患者血糖血压及血脂控制状况调查  

Investigation on the Control Survey of Blood Glucose Blood Pressure and Blood Lipid with Type 2 Diabetes in a Beijing University Community

作　　者：汪小燕[1] 杨大来[1] 余晓英[1] 黄颖睿[1] 朱雪梅[1] 廉炜[1] 宋杰[1] 赵琳[1] 马兰芳[1] 杨姗姗[1] 李素君[1] 王宏[1] 

机构地区：[1]北京邮电大学社区卫生服务中心,北京100876

出　　处：《河北医学》2014年第7期1222-1226,共5页Hebei Medicine

摘　　要：目的:了解北京某大学社区2型糖尿病患者血糖、血压及血脂达标情况,为相关疾病的早期预防提供科学依据。方法:随机选取2010年3月至2011年3月在大学社区门诊治疗的2型糖尿病患者222名,并按照HbA1c<7.0%为达标值分为达标组患者(90例)和未达标组患者(132例),收集其基本信息、体检信息、人口学信息、现病史、既往史、并发症信息、治疗现状及实验室检查相关资料并进行统计学分析。结果:共调查222名2型糖尿病患者中,达标率为40.54%;单项指标达标率较低,血压、血脂及体重指数的达标率分别为50.45%、31.53%、40.99%。血糖达标的同时血压、血脂得到控制的患者分别有22.97%、11.71%。而血糖、血压、血脂均达标的为7.66%,达标率较低。结论:目前大学社区2型糖尿病患者血糖达标率较低,伴高血压和血脂异常的患者血压、血脂同时达标率更低。因此,对大学社区2型糖尿病患者应采用科学、合理的血糖、血压、血脂、BMI水平等危险因素综合性的治疗,提高各项指标的综合达标率,减少糖尿病并发症和死亡发生风险。Objective：To investigate the status of the blood glucose , blood pressure and blood lipids in patients with type 2 diabetes in Beijing university community , to provide a systematic basis for primary prevention of diseases .Method：222 patients with diabetes were randomly selected from March 2010 to March 2011 , who were under clinic hypoglycemic therapy in the university community , and in accordance with HbA1c〈7.0%for the standard value into compliance patients （ 90 cases ） and did not meet the group of patients （ 132 cases ） , collect basic information , medical information , demographic information is now history, past history , complications information , treatment status and laboratory -related data and statistical analysis.Result：A total of 222 types 2 diabetic patients , compliance rate was 40.54%; single index lower compliance assessment , blood pressure , lipids and body mass index compliance assessment was respectively 50.45%, 31.53%, 40.99%.While blood glucose blood pressure , blood lipids under control were 22.97%, 11.71%.The blood glucose , blood pressure , lipids were unanimous for 7.66%, lower compliance assessment.Conclusion：The ongoing university community ratio of blood glucose in patients with type 2 diabetes, lower blood pressure and lipid abnormalities associated with blood pressure , blood lipids while lower compliance assessment .Therefore , in patients with type 2 diabetes universities community should adopt a comprehensive risk factors for the treatment of systematic and rational blood glucose , blood pressure, blood lipids , BMI levels and so on .and improve the overall compliance assessment of the indicators , reduce the risk of dia-betes complications and death .

关 键 词：糖尿病 血糖 血压 血脂 

分 类 号：R587.1[医药卫生—内分泌]