江苏省2型糖尿病患者身体测量指标现状及与血糖控制关系  

Analysis on anthropometric measure indices and correlation with blood glucose control among type 2 diabetes patients in Jiangsu province

作　　者：张正姬[1] 武鸣[2] 潘恩春[3] 张芹[3] 张宁[4] 盛红艳[4] 胡一河 沈冲[5] 

机构地区：[1]江苏省苏州市疾病预防控制中心,苏州215004 [2]江苏省疾病预防控制中心 [3]江苏省淮安市疾病预防控制中心 [4]江苏省常熟市疾病预防控制中心 [5]南京医科大学

出　　处：《江苏预防医学》2017年第5期530-532,542,共4页Jiangsu Journal of Preventive Medicine

基　　金：江苏省卫生厅医学创新团队科技项目(K201105)

摘　　要：目的了解江苏省2型糖尿病患者的身体测量指标现状,分析身体测量指标与血糖控制关系,为采取有效干预措施提供参考依据。方法采用多阶段分层整群抽样的方法,对常熟和淮安2市纳入基本公共卫生服务规范管理的20 053名2型糖尿病患者进行问卷调查、身体测量和实验室指标检测,分析身体测量指标和血糖及糖化血红蛋白的关系。结果 2型糖尿病患者平均腰围为(86.39±9.58)cm,平均体重指数为25.33±3.47,平均腰臀比为0.90±0.06,平均空腹血糖为(8.86±3.49)mmol/L,平均糖化血红蛋白为(7.69±1.81)%。无论是否进行药物治疗,血糖控制不理想的患者身体测量指标值均大于控制理想的患者,差异均有统计学意义(P<0.05)。进行药物治疗的患者中,糖化血红蛋白值随着BMI、腰围增加而降低,且随腰臀比增加呈上升趋势(P值均<0.05);在非药物治疗的患者中,糖化血红蛋白值随着BMI、腰围和腰臀比增加呈上升趋势(P值均<0.05)。结论江苏省2型糖尿病患者身体测量指标高于糖尿病指南控制标准。在药物治疗的患者中,控制腰臀比对血糖的控制效果更好,在非药物治疗的患者中,控制BMI、腰围和腰臀比均有意义。Objective To analyze current status of anthropometric measure indices among type 2 diabetes（T2DM） patients in Jiangsu province; to analyze the correlation between body measurement indices and blood glucose control effect; to provide reference for implementation of effective interventions. Methods A total of 20 053 T2DM patients were selected by multi-stage cluster sampling method from all T2DM patients covered by basic public health services in Changshu and HuMan, who were subjected to questionnaire survey, physical and biochemical examinations. The correlation between body measurement indices and blood glucose or HbAlc was analyzed . Results The average waist circumference of T2DM patients was （86.39± 9.58） em, the average body mass index was （25.33±3.47）, the average waist to hip ratio （WHR） was （0.90±0.06）, the average fasting blood glucose was （8.86±3.49） retool/L, the average HbAlc was （7.69±1.81）%. Whether or not treated by drugs ,the body measurement indices values of unsatisfactory blood glucose control patients were higher than those of controlled pa- tients, the differences were statistically significant （all P〈0.05）. Among drug treated patients, HbAlc decreased with BMI, waist circumference and increased with WHR （all P〈0.05）. For non-drug trei^ted patients, HbAlc increased with BMI, waist circumference and WHR （all P〈0.05） . Conclusion The body measurement indices of T2DM patients in Jiangsu province were higher than those stated in Diabetes Guide standards. Among drug treated patients, control WHR was more effective than control blood glucose. For non-drug treated patients, control of BMI, waist circumference and WHR were effective.

关 键 词：2型糖尿病 身体测量指标 BMI 腰臀比 血糖控制 关系分析 

分 类 号：R587.1[医药卫生—内分泌]