深圳市光明区糖尿病患者血糖控制现状及影响因素研究  

Study on Blood Glucose Control Status and Influencing Factors of Patients with Diabetic Mellitus in Guangming District of Shenzhen City

作　　者：黄文杰 王湘宁 罗艺淇 HUANG Wen-jie;WANG Xiang-ning;LUO Yi-qi(Community Health Management Center,Shenzhen Guangming District People's Hospital,Shenzhen 518106,Guangdong,China;Jingkou Community Health Service Center,Shenzhen Guangming District People's Hospital,Shenzhen 518106,Guangdong,China;Prevention and Health Education Section,Shenzhen Guangming District People's Hospital,Shenzhen 518106,Guangdong,China)

机构地区：[1]深圳市光明区人民医院社康管理中心,广东深圳518106 [2]深圳市光明区人民医院迳口社区健康服务中心,广东深圳518106 [3]深圳市光明区人民医院防保与健教科,广东深圳518106

出　　处：《医学信息》2024年第10期88-91,117,共5页Journal of Medical Information

基　　金：深圳市光明区科技创新局软科学研究项目(编号:2021R01150)。

摘　　要：目的通过对深圳市光明区的2型糖尿病患者进行问卷和体检结果进行分析,了解血糖控制现状及影响因素,为糖尿病社区防治工作提供参考依据。方法使用整群随机抽样方法抽取光明区50家社康中心2022年接受体检的3015例2型糖尿病患者,采集患者个人信息和相关生化指标,按血糖是否达标分为达标组和未达标组,使用单因素分析筛选出有统计学意义的指标后,纳入二分类非条件多因素Logistic回归模型分析血糖控制现状及影响因素。结果糖尿病患者的血糖控制率为43.15%,高脂血症检出率为35.10%;单因素分析显示不同病程、医保、中心性肥胖、体育锻炼、吸烟与饮酒、高血压史、高血脂症患者血糖控制情况比较,差异有统计学意义(P<0.05);多因素Logistic回归分析显示病程5~10年、病程>10年、部分自费、全部自费、偶尔饮酒、经常饮酒与2型糖尿病患者血糖控制呈负相关,无高血压史、偶尔体育锻炼、经常体育锻炼、无高脂血症与2型糖尿病患者血糖控制呈正相关(P<0.05)。结论光明区2型糖尿病血糖控制率较低,应针对主要影响因素,通过健康教育、运动饮食指导、降压降脂降糖治疗加强规范化管理,以改善血糖控制情况,减少并发症的发生。Objective To understand the current situation and influencing factors of blood glucose control through the analysis of questionnaire and physical examination results of patients with type 2 diabetes mellitus in Guangming District of Shenzhen City,and to provide reference for community prevention and treatment of diabetes mellitus.Methods A cluster random sampling method was used to select 3015 patients with type 2 diabetes mellitus who underwent physical examination in 50 community health centers in Guangming District in 2022.The personal information and related biochemical indicators of the patients were collected,and the patients were divided into the standard group and the non-standard group according to whether the blood glucose was up to standard or not.After the single factor analysis was used to screen out the statistically significant indicators,the two-class unconditional multivariate logistic regression model was included to analyze the current status and influencing factors of blood glucose control.Results The blood glucose control rate of patients with diabetic mellitus was 43.15%,and the detection rate of hyperlipidemia was 35.10%.Univariate analysis showed that there were statistically significant differences in blood glucose control among patients with different course of disease,medical insurance,central obesity,physical exercise,smoking and drinking,history of hypertension,and hyperlipidemia(P<0.05).Multivariate Logistic regression analysis showed that the course of 5-10 years,the course of>10 years,partial self-paid,all self-paid,occasional drinking,and regular drinking were negatively correlated with blood glucose control in patients with type 2 diabetes mellitus;no history of hypertension,occasional physical exercise,regular physical exercise,and no hyperlipidemia were positively correlated with blood glucose control in patients with type 2 diabetes mellitus(P<0.05).Conclusion The blood glucose control rate of type 2 diabetes mellitus in Guangming District is low.According to the main influenc

关 键 词：糖尿病 健康体检 空腹血糖 社康中心 

分 类 号：R587.1[医药卫生—内分泌]