门诊就诊糖尿病患者空腹血糖及糖化血红蛋白控制情况

Analysis on the Control level of Fast Blood Glucose and Hemoglobin A1C among Outpatients with Diabetes

目的：了解门诊就诊糖尿病（DM）患者血糖和糖化血红蛋白（Hb A1c）控制情况。方法：470例进行空腹血糖（FPG）和Hb A1c检查的患者,男性228人（48.5%）,女性242人（51.5%）。年龄29～81岁,平均年龄（66.4±10.3）岁,比较DM患者FPG和Hb A1c控制情况。结果：以FPG作为判定指标,血糖控制率为50.6%,以Hb A1c为判定指标,血糖控制率为48.9%。FPG和Hb A1c均达标的比例为38.7%。Hb A1c水平高于7.0mmol/L者,仍有23.3%FPG控制达标。≥65岁FPG和Hb A1c均达标的比例显著高于〈65岁者。冠心病患者FPG和Hb A1c均达标的比例高于无冠心病患者,但差异无统计学意义。结论：门诊就诊DM患者FPG和Hb A1c均达标的比例为38.7%。中青年及伴有冠心病的DM患者的血糖控制应该加强。

Objective： To investigate the clinic diabetes mellitus（DM） patients with blood glucose and glycosylated hemoglobin（Hb A1c） control. Methods： 470 cases of fasting blood glucose（FPG） and Hb A1 c examination were 228 men（48.5%） and 242 female（51.5%）. The age ranged from 29 to 81 years old, the average age of（66.4±10.3）, FPG and Hb A1 c in patients with DM, compared with control. Results： Using FPG as the evaluation index, the blood glucose control rate was 50.6%, with Hb A1 c as the evaluation index, blood glucose control rate was 48.9%. Both FPG and Hb A1 c as evaluation index, blood glucose control rate was up to 38.7%. Among patients with Hb A1 c level higher than 7.0mmol/L, 23.3% met the FPG control standard. The proportion reached the control standard of the two indexes among patients more than 65 years was significantly higher than those under 65 years, and it was higher in patients with coronary heart disease than non coronary heart disease patients, but the difference was not statistically significant. Conclusion： In patients with DM, The proportion reached the control standard of the two indexes（FPG and Hb A1c） was up to 38.7%. The blood glucose control should be strengthened in young and accompanied by coronary heart disease in DM patients.