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目的了解浙江省湖州市织里镇2型糖尿病患者的血糖控制情况,探讨其影响因素。方法选取湖州市织里镇社区卫生服务中心HIS系统中2014年1月—2016年12月明确诊断并建档管理的2型糖尿病患者1 595例。采集并整理患者资料,计数资料采用χ~2检验,影响空腹血糖值的危险因素采用多因素Logistic回归分析。P<0.05为差异有统计学意义。结果血糖控制的达标率仅为13.17%(210/1 595);文化水平、在岗情况、身体质量指数(BMI)、饮酒、体育锻炼、运动时间、病程长短、服药依从性、用药方式、总胆固醇水平、甘油三酯水平、合并高血压等因素对血糖控制的影响有统计学意义(均P<0.05);而性别、年龄、吸烟对血糖控制的影响无统计学意义(均P>0.05)。多因素Logistic回归分析结果显示,患者年龄≥70岁、病程≥10年、BMI≥28.0 kg/m~2、TC≥5.2 mmol/L、合并高血压是2型糖尿病患者血糖控制的危险因素(均P<0.05)。结论湖州市织里镇2型糖尿病患者的血糖控制达标率偏低,患者年龄≥70岁、病程≥10年、BMI≥28.0 kg/m~2、TC≥5.2 mmol/L、合并高血压是2型糖尿病患者血糖控制的危险因素。
Objective To understand the glycemic control of type 2 diabetes in Zhili Town, Huzhou City, Zhejiang Province, and to explore the influencing factors. Methods A total of 1 595 type 2 diabetic patients with definite diagnosis and file management from January 2014 to December 2016 were selected from HIZ in Zhili Town Community Health Center of Huzhou City. Patient data were collected and collated, count data were tested by χ ~ 2 test. The risk factors affecting fasting blood glucose were analyzed by multivariate Logistic regression. P <0.05 for the difference was statistically significant. Results The compliance rate of glycemic control was only 13.17% (210/1 595). The level of education, job status, body mass index (BMI), drinking, physical exercise, exercise time, duration of disease, medication compliance, The level of triglyceride, hypertension and other factors had significant effects on the control of blood glucose (all P <0.05). However, gender, age and smoking had no significant effect on the control of blood glucose (all P> 0.05). Multivariate logistic regression analysis showed that patients with age ≥70 years, duration of disease ≥10 years, BMI≥28.0 kg / m ~ 2, TC≥5.2 mmol / L, and hypertension were the risk factors for glycemic control in type 2 diabetic patients P <0.05). Conclusion The rate of glycemic control in patients with type 2 diabetes in Zhili Town, Huzhou City is relatively low. The patient’s age is over 70 years old, the course of disease is over 10 years, BMI≥28.0 kg / m ~ 2 and TC≥5.2 mmol / L, and the combined hypertension is 2 Risk factors for glycemic control in patients with type.