北京崔各庄社区糖尿病患者糖化血红蛋白水平及其相关因素研究

Analysis of HbA1c Level and Its Related Factors for Diabetic Patients in Beijing Cuigezhuang Community

目的了解北京城乡结合部社区2型糖尿病患者糖化血红蛋白(HbA1c)控制现状,分析其可能的影响因素,为糖尿病患者社区管理个体化方案提供依据。方法选择社区内2型糖尿病患者,测量身高、体质量、血压,检测血糖、血脂、HbA1c。以HbA1c控制水平<7.0%或≥7.0%,分为两组,即A组(<7.0%)和B组(≥7.0%)。采用SPSS11.5软件进行统计分析。结果A组中HbA1c与BMI、血糖、总胆固醇、低密度脂蛋白胆固醇有相关性(P<0.05),B组中HbA1c与血糖、总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋胆固醇白间有相关性(P<0.05)。结论HbA1c与空腹及餐后2h血糖、血脂之间具有关联性,定期检测HbA1c对2型糖尿病的长期稳定控制有重要意义。

Objective To learn the control status of glycosylated hemoglobin （ HbA1c ） of type 2 diabetes patients in communities of rural - urban fringe zone of Beijing, and analyze the related factors, so as to provide an individualized scheme for diabetes management in community. Methods Type 2 diabetic patients from Cuigezhuang community were enrolled to measure the height, body weight, blood pressure, blood glucose, blood lipids, and HbA1c. The patients were divided according to level of HbA1c as group A （ HbA1c 〈 7. 0% ） and group B （HbA1c≥7.0% ）. The data were statistically analyzed with software package SPSS 11.5. Results In group A the HbAlo level was correlated with the levels of body mass index （BMI） , fasting blood glucose （ FBG）, fasting glucose, postprandial glucose, total cholesterol （ TC）, and lower density lipoprotein - cholesterol （ LDL - C ） （P 〈 0.05）. And in group B the HbA1c level was correlated with the levels of blood glucose, TC, high density lipoprotein - cho- lesterol （ HDL - C）, AND LDL - C （ P 〈 0. 05 ）. Conclusion HbA1c has significant correlation with blood - glucose and blood lipids, Regularly assay of HbAlo is of important significance for a long - term and stable control of type 2 diabetes mellitus.