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目的了解淮安市参加基本公共卫生服务健康管理项目的糖尿病患者血糖控制效果以及影响因素。方法采用分层多阶段随机抽样的方法,抽取500例糖尿病患者,进行问卷调查并现场测量患者的身高、体重和血糖。结果参与此次调查的糖尿病患者空腹血糖平均值为(7.74±3.08)mmol/L,总体血糖控制率为58.79%,其中城市地区血糖控制率为62.88%,农村地区为52.55%,城市患者的血糖控制率高于农村(χ2=5.21,P<0.05)。多因素logistic回归结果显示,城市地区与农村地区相比,城市地区血糖控制的可能性较好(OR=2.93,95%CI:1.87~4.62);非中心性肥胖患者血糖控制可能性是中心性肥胖患者的1.61倍(OR=1.61,95%CI:1.05~2.48);患高血压年数每增加5 a,血糖控制可能性降低6.50%(OR=0.94,95%CI:0.91~0.97)。结论淮安市糖尿病患者血糖控制效果较差,血糖控制效果与居住地区、中心性肥胖、患高血压年数相关。
Objective To understand the effect of glycemic control and its influencing factors on diabetes patients participating in the basic public health service health management project in Huaian City. Methods Totally 500 diabetic patients were selected by stratified multistage random sampling method to conduct questionnaire survey and measure the height, weight and blood sugar of the patients in the field. Results The average fasting blood glucose (FBG) of diabetic patients was (7.74 ± 3.08) mmol / L and the overall blood glucose control rate was 58.79%. The control rate of blood glucose was 62.88% in urban areas and 52.55% in rural areas. The blood sugar Control rate is higher than in rural areas (χ2 = 5.21, P <0.05). In the multivariate logistic regression analysis, the urban areas were more likely to have glycemic control than rural areas (OR = 2.93, 95% CI: 1.87 to 4.62). The likelihood of glycemic control in non-central obese patients was central (OR = 1.61, 95% CI: 1.05-2.48). For each 5-year increase in the number of hypertensive patients, the likelihood of glycemic control decreased by 6.50% (OR = 0.94, 95% CI: 0.91-0.97). Conclusion The blood glucose control effect of patients with diabetes in Huaian City is poor. The effect of blood sugar control is related to the number of years of living, central obesity and hypertension.