上海某社区糖尿病慢性并发症筛查现况分析  

Analysis of current status of screening for chronic complications of diabetes in a community in Shanghai

作　　者：李娅玲[1] 杜兆辉 戴慧敏[1] 瞿华萍 LI Yaling;DU Zhaohui;DAI Huimin;QU Huaping(General Practice Department of Weifang Community Health Service Center of Pudong New District,Shanghai 200122,China;General Practice Department of Shanggang Community Health Service Center of Pudong New District,Shanghai 200126,China;Outpatient Nursing Department of Weifang Community Health Service Center of Pudong New District,Shanghai 200122,China)

机构地区：[1]上海市浦东新区潍坊社区卫生服务中心全科,上海200122 [2]上海市浦东新区上钢社区卫生服务中心全科,上海200126 [3]上海市浦东新区潍坊社区卫生服务中心门诊护理,上海200122

出　　处：《上海医药》2019年第22期36-38,共3页Shanghai Medical & Pharmaceutical Journal

基　　金：上海市浦东新区卫生和计划生育委员会科技发展专项基金资助（PW2016C-3）

摘　　要：目的:了解上海潍坊社区糖尿病患者慢性并发症的患病情况,为糖尿病管理提供依据。方法:在上海潍坊社区建卡的糖尿病患者中,选取1347例进行糖尿病慢性并发症筛查,包括体格检查和实验室检查。结果:参与筛查的患者中,60岁及以上患者的比例为92.1%,体重指数(BMI)<24 kg/m2的比例为39.3%,空腹血糖(FPG)<7.0 mmol/L的比例为57.1%,糖化血红蛋白(HbA1c)<7%的比例为62.4%,总胆固醇(TC)<4.5 mmol/L的比例为47.9%;低密度脂蛋白胆固醇(LDL-c)<2.6 mmol/L的比例为40.8%。糖尿病合并一项及以上慢性并发症的检出率59.2%。糖尿病肾病(DN)、糖尿病周围神经病变(DPN)、糖尿病视网膜病变(DR)的检出率分别为36.9%(497/1347),29.2%(391/1339),13.4%(181/1347)。FPG、HbA1c、TC、LDL-c与BMI等指标控制未达标患者的糖尿病并发症的检出率较高(P<0.05)。结论:社区糖尿病管理对象以老年人为主,血糖达标率较高,但BMI、血脂达标率较低。DPN和DR患病率低于全国平均水平。FPG、HbA1c、TC、LDL-c及BMI指标达标者发生糖尿病慢性并发症的风险较低。Objective:To understand the prevalence of chronic complications of diabetic patients in Weifang Community,Shanghai in order to provide evidence for diabetes management.Methods:Among the diabetic patients who had established files in the Weifang Community in Shanghai,1347 patients were selected for screening for chronic complications of diabetes by telephone and outpatient appointment,including physical examination and laboratory examination.Results:Among the patients who participated in the screening,the proportion of patients aged 60 years and older was 92.1%,the ratio of body mass index(BMI)<24 kg/m2 was 39.3%,the ratio of fasting plasma glucose(FPG)<7.0 mmol/L was 57.1%,the ratio of glycated hemoglobin(HbA1c)<7%was 62.4%,and the ratio of total cholesterol(TC)<4.5 mmol/L was 47.9%;the ratio of low density lipoprotein cholesterol(LDL-c)<2.6 mmol/L was 40.8%.The detection rate of diabetes mellitus complicated with one or more chronic complications was 59.2%.The detection rates of diabetic nephropathy(DN),diabetic peripheral neuropathy(DPN),and diabetic retinopathy(DR)were 36.9%(497/1347),29.2%(391/1339),and 13.4%(181/1347),respectively.The detection rates of diabetic complications were higher in patients who failed to meet the control criteria of FPG,HbA1c,TC,LDL-c and BMI(P<0.05).Conclusion:The community diabetes management objects are mainly elderly people,the rate of blood sugar reaching the standard is higher,but the rates of BMI and blood lipid reaching the standard are lower.The prevalence of DPN and DR is lower than the national average.Those who meet the standard of FPG,HbA1c,TC,LDL-c and BMI have a lower risk of developing chronic complications of diabetes.

关 键 词：糖尿病 慢性并发症 社区 筛查 

分 类 号：R587.1[医药卫生—内分泌]