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目的了解邢台城乡2型糖尿病患者血糖控制情况、药物使用及用药依从性,为该地2型糖尿病的进一步治疗提供依据。方法于2016年3月1日-5月30日采用分层随机抽样,从邢台市区和农村共抽取2 381人进行调查,收集并分析患者基本信息、血糖控制情况、药物使用及用药依从性。结果农村2型糖尿病患者的文化程度低于城市,小学及以下者占75%;血糖控制达标率为25.83%,农村2型糖尿病患者血糖控制达标率为19.01%,低于城市患者血糖控制达标率的29.63%(χ~2=32.168,P<0.001);单纯口服降糖药的患者占82.95%,以单纯口服1种降糖药者最多,占47.21%,农村患者单纯使用1种降糖药者达53.17%;农村患者用药依从率为87.79%,较城市患者用药依从率94.83%低(χ~2=38.216,P<0.001)。结论 2016年邢台城乡2型糖尿病患者血糖控制达标率低,药物依从性差,特别是农村患者,应该加强患者健康教育,提高用药依从性,有效控制患者血糖。
Objective To understand the glycemic control, drug use and drug compliance in type 2 diabetic patients in Xingtai urban and rural areas and provide basis for the further treatment of type 2 diabetes mellitus in this area. Methods From March 1 to May 30, 2016, stratified random sampling was used to survey 2,381 people from urban and rural areas of Xingtai to collect and analyze the basic information, blood sugar control, drug use and drug compliance . Results The level of education of patients with type 2 diabetes in rural areas was 75% lower than that in urban areas, primary schools and below; the rate of blood sugar control was 25.83%; the rate of blood glucose control in rural patients with type 2 diabetes was 19.01%, lower than the rate of glycemic control in urban patients , 29.63% (χ ~ 2 = 32.168, P <0.001). Only oral oral hypoglycemic agents accounted for 82.95% of patients, with a single oral hypoglycemic agents were the most, accounting for 47.21%, rural patients simply use a hypoglycemic agent 53.17% of patients in rural areas. The compliance rate of patients in rural areas was 87.79%, which was 94.83% lower than that of urban patients (χ ~ 2 = 38.216, P <0.001). Conclusion In 2016, the glycemic control rate of patients with type 2 diabetes mellitus in Xingtai urban and rural areas was low, and drug compliance was poor. Especially in rural areas, patients’ health education should be strengthened to improve drug compliance and effectively control the blood sugar of patients.