上海某社区糖尿病患者的便秘患病率调查  

A survey of prevalence of constipation in diabetic patients in a community of Shanghai

作　　者：杨军花 肖显娇 花云[1] 刘岩[1] YANG Junhua;XIAO Xianjiao;HUA Yun;LIU Yan(Department of General Practice of Baiyu Community Health Service Center of Putuo District,Shanghai 200063,China)

机构地区：[1]上海市普陀区白玉社区卫生服务中心全科,上海200063

出　　处：《上海医药》2020年第22期54-57,共4页Shanghai Medical & Pharmaceutical Journal

基　　金：上海市普陀区卫生系统自主创新科研资助项目(ptkwws201835)。

摘　　要：目的:调查糖尿病患者的慢性便秘患病情况及相关因素,为个体化干预提供依据。方法:选取上海白玉社区卫生服务中心管辖的,且符合入选条件的894例糖尿病患者为研究对象,其中男性424例,女性470例,年龄(71.5±8.9)岁。调查内容包括目前血糖状况、排便习惯和就诊行为、以及生活习惯。结果:894例患者的平均空腹血糖为(6.7±1.5)mmol/L,平均餐后2 h血糖为(9.5±1.9)mmol/L,平均糖化血红蛋白为(6.8±1.2)%。在根据SAS、SDS和AIS量表评分,46例有焦虑,占比5.1%;163例有抑郁,占比18.63%;240例有失眠,占比26.84%。894例患者中发现便秘者167例,患病率为18.7%。不同运动情况和饮水情况患者间的便秘患病率差异有统计学意义(P<0.05)。便秘患病率随年龄增加有上升趋势(P<0.05)。结论:糖尿病患者的便秘发生与年龄、运动和饮水情况相关。Objective:To investigate the prevalence and related factors of chronic constipation in diabetic patients,and to provide the basis for individual intervention.Methods:A total of 894 diabetic patients who met the inclusion criteria and were under the jurisdiction of Baiyu Community Health Service Center,Shanghai were selected as the research objects,and there were 424 males and 470 females with the age of(71.5±8.9)years old.The survey contents included the current blood glucose status,defecation habit and treatment behavior,and living habits.Results:The average fasting blood glucose was(6.7±1.5)mmol/L,the average 2h postprandial blood glucose was(9.5±1.9)mmol/L,and the average glycosylated hemoglobin was(6.8±1.2)%in 894 patients.According to the SAS,SDS and AIS scale scores,46 cases had anxiety,accounting for 5.1%;163 cases had depression,accounting for 18.63%;240 cases had insomnia,accounting for 26.84%.Among 894 patients,167 cases were found constipation,and the prevalence rate was 18.7%.There was significant difference in the prevalence of constipation among patients with different exercise and drinking water conditions(P<0.05).The prevalence of constipation increased with age(P<0.05).Conclusion:The occurrence of diabetic constipation is related to age,exercise and drinking water.

关 键 词：糖尿病 便秘 患病率 

分 类 号：R587.1[医药卫生—内分泌]