2型糖尿病门诊患者血糖控制状况及影响因素分析

[目的] 评价2型糖尿病门诊患者血糖控制情况，了解该人群血糖控制的影响因素。[方法] 采用单纯随机抽样的方法，在上海市某三级甲等医院糖尿病中心抽取2型糖尿病患者677例，收集患者的基本人口学特征、体格检查以及实验室检测资料等。运用单因素分析和非条件Logistic回归分析探讨血糖控制的影响因素。[结果] 677例2型糖尿病患者的糖化血红蛋白（HbAlc）平均值为7.27%，HbAlc ≥ 7.00%的患者有313例，占46.23%。非条件Logistic回归分析结果显示，影响血糖控制效果的因素有舒张压（DBP）、体质指数（BMI）和三酰甘油（TG），OR值分别为1.03、1.17和1.40。[结论] 2型糖尿病门诊患者的血糖控制现状不容乐观，血糖控制状况受多种因素影响。

Glycemic control status and its influencing factors in type 2 diabetic Outpatients

[ Objective] To investigate the glycemic control status and its influencing factors in type 2 diabetic outpatients. [ Methods] A total of 677 type 2 diabetic outpatients in a three-A level hospital in Shanghai were enrolled in this study. Their general conditions, physical examination and lab examination were surveyed. [ Results] The mean HbAlc concentration of the 677 type 2 diabetic outpatients was 7.27%. And 46.23% of participants had a HbAlc ≥7.00%. The results of Logistic regression showed that diastolic blood pressure l DBP）, body mass index（BMI） and triglycerides（TG） were influencing factors for achieving the optimum HbAlc goal. [ Conclusion ] The success rate of glycemic control was low in out- patients with type 2 diabetes mellitus. There are multifaceted determinants for,achieving glycemic control. It is essential to further increase the awareness of these determinants.