凉山地区不同病程2型糖尿病患者糖化血红蛋白水平及并发症相关性分析  

Correlation analysis of glycosylated hemoglobin levels and complications in patients with type 2 diabetes mellitus with different courses in Liangshan

作　　者：游泽莉[1] 杨成会[1] You Zeli, Yang Chenghui(. The Tirst People＇s Hospital of Liangshan Prefecture, liangshan, Sichuan 61500)

机构地区：[1]凉山州第一人民医院,四川凉山615000

出　　处：《基层医学论坛》2018年第13期1747-1749,共3页The Medical Forum

摘　　要：目的探讨不同病程2型糖尿病(T_2DM)患者糖化血红蛋白(HbA_1c)水平与并发症的相关性。方法将309例糖尿病患者按照病程分为3组,<5年组(182例),5年~10年组(76例),以及>10年组(51例)。分析年龄、性别、HbA_1c以及并发症发生情况及相关性。结果患者年龄与病程中度相关(r=0.426,P<0.05)。不同病程患者HbA_1c差异明显(P<0.05),病程较长者血糖控制不佳者比例上升,患者HbA_1c、血糖控制达标情况和病程呈弱相关(r=0.136~0.187,P<0.05)。并发症和病程间显示弱的相关性(r=0.125~0.181,P<0.05)。结论不同病程T_2DM患者糖化血红蛋白水平差异明显,病程和糖化血红蛋白、并发症直接相关。Objective To investigate the glycosylated hemoglobin levels（HbA_1c）and complications in type 2 diabetic（T_2DM）patients with different course and the correlation. Methods 309 cases of diabetic patients were divided into three groups according to the course,5 years group（182 cases）,5~10 group（76 cases）,and10 group（51 cases）.Age,gender,HbA_1c,and complications and correlation were analyzed. Results The age of patients was moderately correlated with the course of disease（r=0.426,P〈0.05）.The difference of HbA_1c in patients with different course of disease was significant（P〈0.05）.The proportion of poor glycemic control in patients with longer course of disease was increased,and the level of HbA_1c,blood glucose control and the course of disease were weakly correlated（r=0.136~0.187,P〈0.05）.There was a weak correlation between the complications and the course of disease（r=0.125~0.181,P〈0.05）.Conclusion The levels of HbA_1c in different courses of T_2DM are obviously different,and the course of disease is directly related to HbA_1c and complications.

关 键 词：2型糖尿病 病程 糖化血红蛋白 并发症 相关性 

分 类 号：R587.2[医药卫生—内分泌]