淮安市基本公共卫生服务健康管理项目的糖尿病患者血糖控制情况及其影响因素

Situation and influencing factors of blood glucose control in diabetics with health management of basic public health services in Huai'an City

目的了解淮安市参加基本公共卫生服务健康管理项目的糖尿病患者血糖控制效果以及影响因素。方法采用分层多阶段随机抽样的方法,抽取500例糖尿病患者,进行问卷调查并现场测量患者的身高、体重和血糖。结果参与此次调查的糖尿病患者空腹血糖平均值为（7.74±3.08）mmol/L,总体血糖控制率为58.79%,其中城市地区血糖控制率为62.88%,农村地区为52.55%,城市患者的血糖控制率高于农村（χ^2=5.21,P〈0.05）。多因素logistic回归结果显示,城市地区与农村地区相比,城市地区血糖控制的可能性较好（OR=2.93,95%CI：1.87-4.62）;非中心性肥胖患者血糖控制可能性是中心性肥胖患者的1.61倍（OR=1.61,95%CI：1.05-2.48）;患高血压年数每增加5 a,血糖控制可能性降低6.50%（OR=0.94,95%CI：0.91-0.97）。结论淮安市糖尿病患者血糖控制效果较差,血糖控制效果与居住地区、中心性肥胖、患高血压年数相关。

[Objective]To understand the situation of blood glucose control and its influencing factors in diabetics with health management of basic public health services in Huai＇an City.[Methods]By using the method of stratified multistage random sampling,500 diabetics were selected. The questionnaire survey and field measurements were carried out to collect the patients information and height, weight and blood glucose. [Results] The mean of fasting blood glucose of diabetes mellitus patients was（7.74 ±3.08） mmol/L and the management rate was 58.79%. The control rate in urban was 62.88% which was higher than that in rural of 52. 55%（ χ^2= 5. 21,P〈0. 05）. Multivariate logistic regression analysis indicated that the situation of blood glucose control in urban was better than that in rural area（ OR = 2. 93,95% CI： 1. 87 - 4. 62） and the blood glucose control of non central obesity patients was 1. 61 times as to central obesity patients（ OR = 1. 61,95% CI： 1. 05 - 2. 48）. With an increasing of per 5 year of having hypertension in,there was a decreasing of 6. 50% in the blood glucose control（ OR = 0. 94,95% CI： 0. 91 - 0. 97）.[Conclusion]The situation of blood glucose control diabetics in Huai＇an City is poor and related to areas,central obesity and the years of having hypertension.