社区中老年糖尿病诊疗情况及慢病管理情况分析

Analysis of Diagnosis and Treatment of Diabetes and Management of Chronic Diseases in Middle-Aged and Elderly Patients in Community

目的:探讨社区中老年糖尿病诊疗情况及慢病管理情况。方法:选取2022年1—12月在北京市朝阳区常营社区建档的103例中老年糖尿病患者作为研究对象,回顾性分析患者临床资料,并根据血糖控制效果将患者分成达标组、未达标组。比较两组人口学特征,分析中老年糖尿病患者预后影响因素。结果:两组性别、年龄、合并症情况、糖尿病家族史、体重、糖尿病管理规范性、尿酸、总胆固醇、尿钾、尿钠水平比较,差异无统计学意义(P>0.05);两组吸烟史、饮酒史、体育锻炼情况、血肌酐(CRE)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、尿肌酐(uCREA)水平比较,差异有统计学意义(P<0.05)。多因素logistic回归分析显示,吸烟史、饮酒史、CRE、TG、LDL-C、uCREA水平为影响中老年糖尿病患者血糖达标的危险因素,体育锻炼、HDL-C水平为保护因素,差异有统计学意义(P<0.001)。结论:北京市朝阳区常营社区中老年糖尿病患者的血糖达标水平仍有待提高,为了保证血糖控制效果,社区医院应对患者加强管理,加强健康宣教。

Objective:To explore the diagnosis and treatment of diabetes and management of chronic disease in middle-aged and elderly patients in community.Methods:A total of 103 middle-aged and elderly patients with diabetes who were filed in Changying Community of Chaoyang District of Beijing from January 2022 to December 2022 were selected as the study subjects.The clinical data of the patients were retrospectively analyzed.According to the effect of blood glucose control,the patients were divided into the qualified group and the non-qualified group.The demographic characteristics in two groups were compared and the influencing factors of the prognosis in middle-aged and elderly patients with diabetes were analyzed.Results:There were no significant differences in gender,age,comorbidities,family history of diabetes,body weight,diabetes management norms,uric acid,total cholesterol,urine potassium,urine sodium levels between the two groups(P>0.05).There were significant differences in smoking history,drinking history,physical exercise,serum creatinine(CRE),triglycerides(TG),high-density lipoprotein cholesterol(HDL-C),low-density lipoprotein cholesterol(LDL-C),urine creatinine(uCREA)levels between the two groups(P<0.05).Multivariate logistic regression analysis showed that,smoking history,drinking history,CRE,TG,LDL-C,uCREA levels were the risk factors affecting the blood glucose qualification of middle-aged and elderly patients with diabetes,while physical exercise and HDL-C levels were protective factors,and the difference was statistically significant(P<0.001).Conclusion:The qualified level of blood glucose of middle-aged and elderly patients with diabetes in Changying Community of Chaoyang District of Beijing still needs to be improved.In order to ensure the effect of blood glucose control,community hospitals should strengthen management of patients and strengthen health education.