论文部分内容阅读
目的 评价上海市浦东新区2型糖尿病患者血糖控制情况,了解血糖控制的影响因素. 方法 采用随机抽样方法,在2011年10月1日前随访管理的2型糖尿病患者中抽取618人,开展问卷调查和体格检查. 根据2010年美国糖尿病学会( ADA)的血糖控制目标(糖化血红蛋白<7%) ,将被调查者分为血糖控制组和血糖控制不良组,采用Logistic回归分析,探讨血糖控制的影响因素. 结果 580例2型糖尿病患者的糖化血红蛋白平均值为7.46%,各项指标检测的平均值均超过ADA推荐的糖尿病综合控制目标. 多因素Logistic回归分析结果显示,病史长,腰臀比异常,超重或肥胖等因素为血糖控制不佳的影响因素. 结论 目前上海市浦东新区2型糖尿病血糖控制达标率较低,血糖控制受多种因素影响.“,”Objective To evaluate glycemic control and identifying factors for achieving such control in patients suffering from type 2 diabetes mellitus in Pudong New Area of Shanghai. Methods A questionnaire survey and physical examination were conducted in patients with type 2 diabetes through a random sampling method.The criteria of American Diabetes Association(ADA), were applied to evaluate the control of blood glucose , blood pressure and blood lipid.Logistic regression analysis was used to analyze factors for achieving the target goal of glycemic control( HbAlc<7.0%) recommended by ADA. Results The mean HbAlc concentration of 580 patients with type 2 diabetes was 7.46%.Disease course, overweight, obesity and waist-to-hip ratio were influencing factors in achieving the HbAlc goal. Conclus ion The success rate of glycemic control is now low in patients with type 2 diabetes mellitus in Pudong New Area of Shanghai.The achieving of glycemic control has been affected by multiple factors.