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目的探讨影响2型糖尿病患者血糖控制的相关因素。方法随机抽取辖区社区卫生服务中心管理的2型糖尿病患者376例,对一般资料进行调查,同时进行体格检查及空腹血糖检查,分析结果。结果 376例患者,控制达标患者54例,322例未达标,达标率为14.36%;单因素分析性别、文化程度、婚姻状况、血糖监测次数等因素血糖达标与未达标组比较差异无统计学意义(P>0.05),饮食控制、规律运动、超重、年龄、体重指数(BMI)、空腹血糖、腰臀比(WHR)等因素方面比较差异有统计学意义(P<0.05);多因素Logistic回归分析无饮食控制、无规律运动、WHR高是与患者血糖控制有关的独立因素(P<0.05)。结论 2型糖尿病患者血糖控制达标率较低,影响血糖控制的因素较多,社区管理重点督促患者饮食控制、规律运动以控制血糖水平达标。
Objective To investigate the related factors that influence the blood sugar control in type 2 diabetic patients. Methods A total of 376 type 2 diabetic patients managed by community health service centers were randomly selected. The general data were investigated. Physical examination and fasting glucose test were performed simultaneously to analyze the results. Results Among the 376 patients, 54 patients achieved the standard of control, 322 patients failed to meet the standard, and the compliance rate was 14.36%. There was no significant difference between the standard of glucose and the standard of non-compliance in the univariate analysis of gender, educational level, marital status, blood glucose monitoring and other factors (P> 0.05). There were significant differences in diet control, regular exercise, overweight, age, body mass index (BMI), fasting blood glucose and WHR between the two groups Analysis of diet control, irregular exercise, WHR high blood glucose control and patients with independent factors (P <0.05). Conclusions The rate of glycemic control in patients with type 2 diabetes is low, and there are many factors that affect the control of blood glucose. The community management urges the patients to exercise dietary control and regular exercise to control the blood sugar level.