河北省保定市社区2型糖尿病糖化血红蛋白控制率的调查

目的 了解保定市社区2型糖尿病糖化血红蛋白(HbA1c)达标率及影响因素.方法 随机整群抽取保定市3个社区,应用横断面研究方法调查45岁以上居民中已经确诊的2型糖尿病患者HbA1c控制情况.结果 社区内糖尿病HbA1c达标者87例,占18.6％.经过百分率的趋势性检验,糖尿病并发大血管和微血管病变与HbA1c水平呈正趋势,随着HbA1c升高,大血管病变患病率和微血管病变患病率均增加(均P＜0.05).Logistic回归分析显示,治疗措施和对防治知识的了解程度是影响达标的主要因素.结论 社区糖尿病HbA1c控制达标率低,理解并接受胰岛素治疗可能是降低HbA1c的主要方式之一.

Status survey on control of glycolated hemoglobin A1c in type 2 diabetes mellitus of Baoding community

Objective To investigate the control rate and influence factors of glycolated hemoglobin A1C(HbA1c) of type 2 diabetes in Baoding city community.Methods A cluster-randomized study was conducted and three communities were selected randomly.The study involved all of people aged 45 years old and above in the three communities.The type 2 diabetic patients diagnosed before,were recorded through the cross section study.Then the questionnaire was finished.All diabetic plasma HbA1c was determined by HPLC method.Results Eighty-seven patients with HbA1c≤7％ were only 18.6％ in all diabetic patients.As the plasma level of HbA1c increased,occurrences of macroangiopathy and microangiopathy were both increased,by the trend test.Logistic regression analysis showed that therapeutic measures and knowledge about diabetes were main influence factors of achieving the hemoglobin Alc target of ＜7％ in type 2 diabetes.Conclusion There were low HbA1c control in diabetic patients of Baoding community,and knowing diabetes well and receiving insulin treatment might decrease HbA1c level apparently.