某社区糖尿病慢性并发症影响因素分析

Influencing factor analysis of chronic diabetic complications in a community

目的探讨社区糖尿病慢性并发症影响因素,以便为社区慢性疾病的管理提供依据。方法抽取自愿接受研究的某社区糖尿病患者400例作为研究对象,纳入对象签署知情同意书,可独立完成问卷调查,根据是否合并慢性并发症分为观察组(n=320例)与对照组(n=80例),对两组患者资料、相关指标进行分析。结果多因素回归分析显示年龄>50岁(OR=3.456)、病程≥4年(OR=2.948)、BMI>24 kg/m^2(OR=2.821)、空腹血糖>7.0 mmol/L(OR=2. 918)、饮酒≥3次/周(OR=2.1)是社区糖尿病慢性并发症的危险影响因素。结论对年龄>50岁、病程≥4年、BMI>24 kg/m^2、空腹血糖>7.0 mmol/L、饮酒≥3次/周的社区糖尿病患者加强筛查,定期监测,有助于减少糖尿病慢性并发症的发生。

Objective To investigate the influencing factors of chronic complications of diabetes in a community in order to provide basis for the management of chronic diseases in the community.Methods Totally 400 volunteers were selected as the study subjects,informed consent forms were signed by the subjects and the questionnaires were completed independently.The patients were divided into two groups according to whether or not they had chronic complications:the observation group(n=320)and the control group(n=80 cases).Data and relevant indicators of the two groups were analyzed statistically.Results Multivariate regression analysis showed age over 50 years old(OR=3.456),course of disease 4 years and above(OR=2.948),BMI over 24kg/m2(OR=2.821),fasting blood glucose over 7.0mmol/L(OR=2.918),drinking 3 times/week and above(OR=2.1)are the influencing factors of chronic complications.Conclusion Patients aged over 50 years old,with course of disease 4 years and above,BMI over 24 kg/m 2,fasting blood glucose over 7.0mmol/L,drinking 3 times a week and above,should be screened and detected regularly,in order to minimize the occurrence of chronic complications.