榆林地区2型糖尿病患者的血糖控制情况及其影响因素  

Control rate of blood glucose and its influencing factors in type 2 diabetes mellitus patients in Yulin City

作　　者：胡杰 张玲[1] 张逢[1] 郝尧[1] 何婉霞 张秀梅[1] 师福香 冯少娟 牛建生[1] HU Jie;ZHANG Ling;ZHANG Feng;HAO Yao;HE Wanxia;ZHANG Xiumei;SHI Fuxiang;FENG Shaojuan;NIU Jiansheng(Yulin No.2 Hospital,Yulin 719000,China)

机构地区：[1]榆林市第二医院,陕西榆林719000

出　　处：《西安交通大学学报（医学版）》2022年第6期901-904,共4页Journal of Xi’an Jiaotong University（Medical Sciences）

基　　金：榆林市科技计划项目(No.YF-2021-51)。

摘　　要：目的探讨榆林地区2型糖尿病患者的血糖控制情况及其影响因素。方法选取2020年5月至2021年12月在我院就诊的成人2型糖尿病患者作为研究对象,收集患者的一般情况(性别、年龄、家庭收入、医保类型、受教育程度、病程);测量身高、体质量,计算体质量指数(BMI),测定糖化血红蛋白(HbA1c),测量皮下脂肪和内脏脂肪含量,采用卡方检验和非条件多因素Logistic回归模型进行分析;通过横断面研究法,了解不同人口学特征的2型糖尿病患者HbA1c的达标情况。结果纳入的877名成人2型糖尿病患者中,HbA1c总达标率(HbA1c<7%)为13.34%。卡方检验结果显示,不同的年龄、家庭年收入、医保类型、病程之间HbA1c的达标率有统计学差异。进一步非条件多因素Logistic回归分析模型结果显示,18~44岁年龄组HbA1c达标率是≥60岁年龄组的0.418倍(95%CI=0.219~0.799,P=0.008);职工医保患者HbA1c达标率是居民医保的1.744倍(95%CI=1.131~2.782,P=0.013),家庭年收入在3万~10万元的糖尿病患者HbA1c达标率是家庭年收入不足3万元的1.873倍(95%CI=1.074~3.266,P=0.027),家庭年收入>10万元的糖尿病患者HbA1c达标率是家庭年收入不足3万元的2.649倍(95%CI=1.299~5.404,P=0.007)。结论与国家总体水平及其他地区水平相比较,本地区成人2型糖尿病患者血糖控制达标率较低,年龄、家庭年收入、医保付费类型是其独立影响因素。Objective To investigate the control rate of blood glucose and its influencing factors in type 2 diabetes mellitus patients in Yulin area.Methods We selected the adult type 2 diabetes patients who visited our hospital from May 2020 to December 2021 as the subjects.Then we collected their basic information(gender,age,household income,type of medical insurance payment,education level,and duration of disease),measured their height and weight,calculated their body mass index(BMI),detected HbA1 c,and measured their subcutaneous and visceral fat.The Chi-square test and multivariate Logistic regression methods were used to analyze the influencing factors.Results The total attainment rate of HbA1 c(HbA1 c<7%)among 877 adults with type 2 diabetes was 13.34%.The Chi-square test showed that statistical differences in the attainment rate of HbA1 c among different ages,family annual income,type of medical insurance,and duration of disease.Further unconditional multivariate Logistic regression analysis model results showed that the HbA1 c attainment rate in 18-44 years old group was 0.418 times higher than that in≥60 years old group(95%CI=0.219-0.799,P=0.008).The HbA1 c compliance rate of patients with employees’medical insurance was 1.744 times that those with residents’medical insurance(95%CI=1.131-2.782,P=0.013).The HbA1 c attainment rate of diabetic patients with an annual family income of 30000 yuan to 100000 yuan was 1.873 times(95%CI=1.074-3.266,P=0.027),and with an annual family income of more than 100000 yuan was 2.649(95%CI=1.299-5.404,P=0.007)times than that of diabetic patients with less than 30000 yuan.Conclusion The blood glucose control rate in adults with type 2 diabetes mellitus in Yulin area is lower compared with the level of the nation and other regions.Age,annual household income,and type of medical insurance payment are independent influencing factors.

关 键 词：2型糖尿病 糖化血红蛋白 影响因素 达标率 

分 类 号：R58[医药卫生—内分泌]