百色市老年糖尿病患者慢性并发症的患病现状及血糖控制情况分析

Prevalence Status and Blood Glucose Control of Chronic Complications in Elderly Diabetic Patients in Baise City

目的了解百色地区住院老年糖尿病患者慢性并发症的患病现状及血糖控制情况,为制定老年糖尿病患者多病共存的管理措施及血糖管理方案提供参考依据。方法选取2021年3—12月在该院内分泌科住院的200例老年糖尿病患者为研究对象,通过电子病例回顾性获取患者的一般资料、血糖情况、出院诊断等,分析其慢性并发症的发生情况及血糖控制情况,并探讨其影响因素。结果200例老年糖尿病患者中有166例(83%)发生慢性并发症,同时患有2种及以上合并症高达88例(44%)。单因素分析结果显示,患者慢性并发症发生与患者年龄、文化程度、居住地、BMI、患有高血压住院次数和血糖控制因素有关(P<0.05);200例患者中共161例(80.5%)血糖控制不达标。患者血糖控制达标率与患者年龄、文化程度、病程、治疗方式因素有关(P<0.05);各慢性病发症组中患有糖尿病视网膜病变组患者血糖控制达标率最高(26.32%),糖尿病足组达标率最低(9.1%)。结论老年糖尿病患者的慢性并发症发生率高,总体血糖控制差,急需制定符合老年糖尿病患者的延续性健康管理服务模式来对患者进行个体化管理,提高患者的血糖控制率,减少慢性并发症的发生。

Objective To understand the prevalence of chronic complications and blood glucose control in elderly diabetic patients in Baise area,and to provide reference for formulating management measures and blood glucose management plans for elderly diabetic patients with multiple diseases.Methods A total of 200 elderly diabetic patients who were hospitalized in the endocrinology department of hospital from March to December 2021 were selected as the research objects.The general information,blood glucose status,discharge diagnosis,etc.of the patients were obtained retrospectively through electronic medical records,the occurrence of chronic complications and blood glucose control were analyzed,and the influencing factors were discussed.Results Among 200 elderly diabetic patients,166(83%)had chronic complications,and 88(44%)had two or more comorbidities at the same time.The results of univariate analysis showed that the occurrence of chronic complications was related to the age,education level,residence,BMI,hypertension,number of hospitalzations and glucose control of the patients(P<0.05).A total of 161(80.5%)of the 200 patients had substandard blood glucose control.The blood glucose control compliance rate of patients was related to factors such as age,education level,course of disease and treatment method(P<0.05).Among the chronic disease groups,the diabetic retinopathy group had the highest blood glucose control rate(26.32%),and the diabetic foot group had the lowest rate(9.1%).Conclusion Elderly diabetic patients have a high incidence of chronic complications and poor overall blood glucose control.It is urgent to develop a continuous health management service model that is in line with elderly diabetic patients to carry out individualized management of patients,to improve the blood glucose control rate of patients and reduce the occurrence of chronic complications.