辽阳市2型糖尿病患者糖化血红蛋白控制状况观察

The glycemic control status of outpatients with type 2 diabetes mellitus in Liaoyang City

目的：了解辽阳市社区人群2型糖尿病（T2DM）患者血糖控制状况及相关影响因素．从而进一步控制和改善患者的症状及远期并发症。方法：选2011年3～6月到辽阳市辽阳中心医院门诊就诊的．符合入选和排除标准的400名单纯口服药治疗或口服药联合胰岛素治疗的2型糖尿病患者．检测糖化血红蛋白（HbA1c）、空腹血糖（FBG）、餐后2h血糖（2hPG）等，并填写相关信息表格。结果：在400例糖尿病患者中．男女比例相当．HbA1c控制达标者（HbA1c〈7）占20.5％，控制不达标者（≥7）占79.5％：9175％调研对象过去一周未进行自我血糖监测；单纯口服药组的HbA1c达标率显著高于口服药联合胰岛素组（23.29％vs18.9％．P〈0.05）．口服药联合类似物治疗组的HbA，。达标率显著高于口服药联合人胰岛素组（24.39％vs 11.76％，P〈0.01）。结论：糖尿病控制现状不容乐观，应进一步加强糖尿病防控教育与宣传，及时调整治疗方案，改善患者血糖控制状况。

Objective： To assess the glycemic control status and investigate the factors associated with achieving glycemic targets among patients with type 2 diabetes in Liaoyang City. Methods： 400 cases of type 2 diabetes were selected among outpatients of Liaoyang centre hospital, from April to June, 2011. HbA1c and blood lipid of the patients were determined. Results： 400 selected patients, the proportion of patients with good glycemic control （HbA1c〈7%） was 20.5%. And 91.75% patients had no glucose monitoring one week before the visit. The proportion of good glycemic control was higher in oral antidiabetic drugs （OADs）, compared with OADs combined with insulin treated patients （23.29% vs 18.9%, P〈0.05）. Compared with insulin human, insulin analogue might achieve better blood glucose control The proportion of patients with good glycemic control was 24.39% in insulin analogue treated patients, 11.76% in insulin human treated patients, respectively. Conclusion： The prevalence of inadequate glycemic control remains high in patients with type 2 diabetes. Systematic education on diabetes is helpful for good glycemic control.