湖北省糖尿病患者血糖控制现状与影响因素的调查分析

Glycemic control and influencing factors of patients with diabetes in Hubei province

目的了解湖北省糖尿病患者血糖控制现状及相关影响因素,为该地区糖尿病患者血糖控制提供依据。方法分层整群抽样法调查15岁及以上常住人口28563名,其中,28555名回答了糖尿病状况。结果 28555名中,已明确糖尿病患者823例（2.9%）。明确回答本人目前血糖控制状况者716名,目前血糖控制良好者399名（55.7%）。Logistic回归分析结果显示,遵医嘱患者血糖控制率是从不服药者的1.853倍（95%CI：1.017~3.377）,女性患者血糖控制率为男性患者的70.0%（49.8%vs97.1%）,65岁及以上老年患者血糖控制率是65岁以下患者的1.505倍（95%CI：1.052~2.153）。经济状况每提升一个水平,血糖控制率会增加21.2%（7.3%vs 36.6%）。目前仍就业者血糖控制率为无业/失业者的50.1%（28.7%vs87.3%）。结论湖北省血糖控制率仍较低,遵医嘱服药、性别、经济状况、就业情况和年龄是影响血糖控制的因素。

Objective To investigate the status of glycemic control and influencing factors of patients with diabetes in Hubei province,in order to provide evidences for diabetes control.Methods-28563 residents with age ≥15 years were sampled using stratified cluster sampling,among whom 28555 answered the questions about diabetes mellitus.Results Data from 716 patients with diabetes mellitus was taken into analysis including 399 patients with well controlled glucose and the rate as 55.7%.Logistic analysis showed that the rate of glycemic control in patients with medication compliance was 1.853 times（95%CI：1.017—3.377） of that in those taking no medication;the rate of glycemic control in female patients was 70.0%of that in male patients（49.8%vs 97.1%）;the rate of glycemic control in patients with age ≥65 years was 1,505 times（95%CI：1.052~2.153）of that in patients with age 65 years.The rate of glycemic control increased 21.2%as economic income upgraded one level.The rate of glycemic control in patients on job was 50.1%（28.7%vs 87.3%）of that in patients unemployed.Conclusion The rate of glycemic control is relatively low and medication compliance,gender,economic income,occupational status and age are independent predictors for glycemic control in Hubei province.