社区2型糖尿病患者空腹血糖控制效果的影响因素分析

目的 研究社区2型糖尿病患者空腹血糖的控制效果及其影响因素。方法 选取2017年7月至2018年4月于南京市玄武区8家社区的1 220例2型糖尿病患者为研究对象,根据其空腹静脉血糖、空腹末梢第1滴血血糖值、空腹末梢第2滴血血糖值的情况分为空腹血糖控制正常组和空腹血糖控制异常组。比较两组患者的性别、年龄、体重指数(BMI)、糖尿病病程等临床资料,采用单因素方差分析、多因素非条件Logistic回归分析法探究空腹血糖控制效果的影响因素。结果 1 220例社区2型糖尿病患者空腹血糖控制达标率为50.41%,多因素非条件Logistic回归结果显示,性别、糖尿病病程、是否存在高血压、血脂控制是否正常、是否为向心型肥胖是社区2型糖尿病患者空腹血糖控制效果的影响因素。结论 性别、糖尿病病程、是否存在高血压、血脂控制是否正常、是否为向心型肥胖对社区2型糖尿病患者空腹血糖的控制有重要影响,临床对这些因素应给予重视,并结合社区患者的实际情况给予针对性的干预措施,以期提高患者的血糖控制效果。

Analysis of influencing factors of fasting blood glucose control of type 2 diabetic patients in the communities

Objective To study the effects of fasting blood glucose control and its influencing factors in type 2 diabetes patients of the communities. Methods A total of 1220 patients with type 2 diabetes in eight communities in Xuanwu district of Nanjing from July 2017 to April 2018 were selected and divided into two groups, one group with normal fasting blood glucose control and the other group with abnormal fasting blood glucose control by three indicators: the fasting venous blood glucose, the blood glucose value of the first drop of fasting peripheral blood, and the blood glucose value of the second drop of fasting peripheral blood. The clinical data such as gender, age, body mass index (BMI), diabetes course were compared, one-way analysis of variance and multivariate unconditional logistic regression analysis were used to explore the influencing factors of fasting blood glucose control effect. Results The compliance rate of FBG control in 1220 patients with type 2 diabetes was 50.41%. The multivariate and unconditioned logistic regression showed that the FBG control effect of type 2 diabetes was affected by gender,duration of diabetes, whether has high blood pressure, abnormal blood lipid control, centripetal obesity. Conclusions Gender,duration of diabetes, whether has high blood pressure, abnormal blood lipid control, centripetal obesity to the community in patients with type 2 diabetes had important effect on fasting plasma glucose control, these five factors should be taken into account, and targeted interventions based on the actual situation of type 2 diabetes patients in the communities should be provided to improve the effect of glycemic control.