汉族与蒙古族人群2型糖尿病患者生活质量比较

目的 比较中国汉族人群和蒙古国蒙古族人群2型糖尿病患者的生活质量情况，并探讨影响2型糖尿病患者生活质量的可能因素。方法 采用36条目简明健康量表（SF-36），在中国湖北省汉族人群和蒙古国乌兰巴托市蒙古族人群中选取922例2型糖尿病患者进行生活质量评价，比较两国患者生活质量各维度及与常模的差异，并采用单因素及多元逐步回归分析生活质量影响因素。结果 汉族2型糖尿病患者生活质量6个维度（PF、RP、GH、VT、RE、MH）得分均低于蒙古族患者（P<0.05）。汉族患者各个维度和蒙古族患者除MH外的7个维度得分均低于常模（P<0.05）。汉族和蒙古族2型糖尿病患者生活质量的可能影响因素不完全相同，年龄、就业状况、经济水平、腹型肥胖、并发症、空腹血糖对两国2型糖尿病患者生活质量的不同维度有影响。结论 中国汉族2型糖尿病患者生活质量低于蒙古国蒙古族患者，且两国患者的生活质量均低于健康人群。应重点关注高龄、失业、经济收入低的人群，控制血糖，预防并发症，提高患者的生活质量。

Comparison of quality of life between Chinese Han and Mongolia Mongolian patients with type 2 diabetes mellitus

Objective To compare the quality of life (QOL) and its related factors between Chinese Han and Mongolia Mongolian patients with type 2 diabetes mellitus (T2DM).Methods Using Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36),a total of 572 Han T2DM patients from Hubei province of China and 350 Mongolian T2DM patients from Ulaanbaatar of Mongolia were measured.The difference in QOL and its influencing factors between the Han and Mongolia T2DM patients were analyzed.Results The scores of physical component subscale (PCS) and mental component subscale (MCS) among both Chinese Han and Mongolia Mongolian T2DM patients were lower than those of the norm,and the sores of Chinese Han were lower than those of Mongolia Mongolian,with statistically significant differences (all P<0.05).The related factors of QOL among Chinese Han and Mongolia Mongolian were not completely same.Age,employment status,income,central obesity,complication,and fasting blood glucose were infulencing factors of QOL among the T2DM patients.Conclusion The QOL among Chinese Han and Mongolia Mongolian T2DM patients was generally worse than that of healthy population and more attention should be paid to the T2DM patients at older age,unemployed,with low income to improve their QOL.