摘要
目的 研究个人和环境因素对糖尿病病人代谢控制程度的影响。方法在进行糖尿病(DM)知识讲座时,对DM病人进行问卷调查,先后根据他们的DM病程、文化程度、依从性、每日工作时间及职业进行分组,比较各组间的DM控制程度,分析病人个人及环境因素与糖、脂代谢的相关关系。结果 2 856例DM病人中,男性 1405例(49.81%),女性1451例(50.19%);1型DM 140例(4.9%),2型DM 2 716例(95.1%);平均年龄58.34±21.82岁(24~8l岁);有DM家族史者283例(9.91%);超重者1265例(44.29%),正常体重者1047例(36.66%),消瘦者544例(19.05%)。病人对医生的依从性中,绝对依从组代谢控制最佳(P<0.01);相对依从组次之,不依从组最差,二组比较(P<0.02);且空腹血糖(FBG)、餐后2小时血糖(PBG)、糖化血红蛋白(GHb)及甘油三酯(TG)分别与DM病人的依从性呈负相关关系(r分别为-0.059,-0.055,-0.075,-0.063;P分别为<0.05,<0.05,<0.01,<0.025)。DM病程中,1~5年组的糖脂代谢控制最佳(P<?
Objective To study the effect of individual and environmental factors of diabeties on their glycemic and lipidic metabolism. Methods While educating diabeties with diabetic informations, we inguired their individual data questionnaires. According to their diabetic periods,cultural levels,compliance to their doctors,daily work times and ocupations respectively,we grouped these patients and compared their fasting and postprandial glycemia (FBG & PBG), GHb,serum lipids and serum uric acid (BUA). Results Among 2 856 diabetic patients,the type I was about 4. 9% and the type Ⅱ about 95. 1% ; the family patients was about 9. 91% and the overweight about 44. 29K. According to patients' compliance to their doctors,blood glucose,GHb and lipids and BUA was lower in absolute compliance group than the basical group or the non compliance one (P<0. 02),and the levels of glycemia and GHb and TG all related to their compliance (respectively r=- 0. 059, - 0. 055, - 0. 075, - 0. 063 ; and P<0. 05, 0. 05, 0. 01, 0. 025 ). Considering the diabetes periods,the 1-5 year metabolic control of group was best (P<0. 02) and the 5- 10 year and above 10 year metabolic control groups were better than the group within one year (P <0. 05). To patients' cultural levels, the metabolic control senior or higher middle school groups was better than the junior middle school or lower (P<0. 05). Thinking their daily work time and occupation,the metabolic control of groups working more than seven hours was worst (p respectively less than 0. 05 and 0. 02). Conclusion diabetic patients' individual and environmental factors are all affecting their metabolic control,among them the complicance is most effective.
出处
《中国糖尿病杂志》
CAS
CSCD
2001年第4期230-233,共4页
Chinese Journal of Diabetes
关键词
糖尿病
个人因素
环境因素
代谢控制
Diabetes mellitus Individual and environmental factors Metabolic control