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目的 观察重庆某城乡结合部一个社区糖尿病管理现状和特点,分析影响糖尿病控制效果的因素,为制订防治策略提供科学依据.方法 以重庆市沙坪坝双碑社区卫生服务中心管理的糖尿病患者为主要对象,采用问卷调查和体格检查相结合的方式收集患者个体特征、生活方式、体格检查等相关信息,描述糖尿病控制比例、糖尿病肾病高危患者比例;通过多因素Logistic回归分析掌握糖尿病控制的影响因素.结果 纳入分析的糖尿病患者810例.年龄分布主要在50~80岁;男325例(40.1%),女485例(59.9%);其中血糖控制良好人数385例(47.5%);男性和低年龄组患者的控制效果相对较差;高三酰甘油、高心率、大腰围等可能是血糖控制的不利因素;其中糖尿病肾病高危患者173例(21.36%);高肌酐、高心率、高血糖、尿潜血等可能是肾病高危患者的危险因素.结论 目前基层服务中心所开展的糖尿病控制项目已深入社区人群,但控制效果需要进一步提升.控制血糖、三酰甘油,改善心血管、肾脏功能是该人群提高控制效率的重要任务.“,”Objective To observe the management status quo and characteristics in a community of Chongqing rural-urban fringe area,and to analyze the influence factors of diabetic control effects to provide a scientific basis for formulating its prevention and treatment strategies.Methods The diabetic patients managed in Shuangbei Community Health Service Center of Chongqing Shap-ingba District served as the main subjects.Their individual characteristics,lifestyle and physical examination related information were collected by means of questionnaire investigation combined with physical examination,the proportions of diabetes control and high risk patients of diabetic nephropathy were described.In addition,the influencing factors of diabetes control were analyzed and mastered by using the Logistic regression analysis.Results A total of 810 diabetic patients were included,the age distribution was mainly 50-80 years old,among them 325 cases(40.1%)were males and 485(59.9%)cases were females;388 cases(47.9%)were in good state of blood glucose control;the control effects in men and low age participants were relatively poor;high triglycerides, high heart rate and big waist circumference could be the disadvantage factors;173 cases(21.36%)were at high risk of diabetic ne-phropathy;high creatinine,high heart rate,high blood sugar and urine occult blood could be the risk factors of high risk patients with kidney disease.Conclusion At present,the diabetes control project conducted in the primary service center has gone deep into to community people,but the control effects should be increased.Controlling blood sugar and triglyceride,and improving cardiovas-cular are the important task for them to increase the control efficiency.