苏州通安社区不同性别糖尿病患者的现状调查及危险因素分析

A Survey on the Current Situation of Diabetes Mellitus Patients of Different Sexes and Analysis of Risk Factors in Suzhou Tongan Community

目的调查苏州高新区通安社区糖尿病患者的血糖、血压、血脂达标情况,分析相关危险因素,为后期对该社区糖尿病的防治提供依据。方法收集2018年10月—2019年6月苏州通安社区的479例2型糖尿病患者的基本资料及血糖、血脂、血压等指标,分析该社区糖尿病的患病现况和危险因素。结果研究对象的血糖、血压、血脂总达标率分别为43.84%、14.82%、39.25%,三者均达标率为2.92%,其中女性2型糖尿病患者的LDL-C的达标率明显低于男性,差异有统计学意义(P<0.05)。女性糖尿病患者的病程、中心性肥胖比率和血脂水平均明显高于男性患者,腰围水平显著低于男性患者,差异有统计学意义(P<0.05)。另外,病程与中心性肥胖是男性HbA1c、血压与LDL-C不达标的独立危险因素,女性血压不达标的独立保护因素(P<0.05);而年龄是男性血压与LDL-C不达标的独立危险因素,是女性HbA1c与LDL-C不达标的独立危险因素(P<0.05);而中心性肥胖是男性与女性HbA1c、血压与LDL-C不达标的独立危险因素(P<0.05)。结论苏州通安社区糖尿病患者的血糖、血压、血脂综合达标率低,需加大对城郊社区糖尿病患者管理的支持,尤其患者的中心性肥胖、血脂控制,并积极干预女性患者的血糖血压管理。

Objective To investigate the blood glucose,blood pressure and lipid attainment of diabetes mellitus patients in Suzhou High-tech Zone Tongan Community,and analyze the related risk factors to provide a basis for the prevention and treatment of diabetes mellitus in this community in the later stage.Methods The basic data and indicators of blood glucose,blood lipids and blood pressure of 479 patients with type 2 diabetes mellitus in Suzhou Tongan community from October 2018 to June 2019 were collected.The current prevalence and risk factors of diabetes mellitus in this community were analyzed.Results The total compliance rates of blood glucose,blood pressure and lipids of the study subjects were 43.84%,14.82%and 39.25%,respectively,and the compliance rate of all three was 2.92%.The LDL-C attainment rate in women with type 2 diabetes mellitus was significantly lower than that in men,the difference was statistically significant(P<0.05).The duration of disease,central obesity ratio and lipid levels in female diabetic patients were significantly higher than those in male patients,and waist circumference levels were significantly lower than that in male patients,the difference was statistically significant(P<0.05).In addition,course of disease and central obesity are independent risk factors for substandard HbA1c,blood pressure,and LDL-C in men,and independent protective factors for substandard blood pressure in women(P<0.05);Age is an independent risk factor for substandard blood pressure and LDL-C in men,and an independent risk factor for substandard HbA1c and LDL-C in women(P<0.05);Central obesity is an independent risk factor for substandard HbA1c,blood pressure,and LDL-C in men and women(P<0.05).Conclusion The combined attainment rate of blood glucose,blood pressure and lipid in diabetes mellitus patients in the Suzhou Tongan community is low,and more support is needed for the management of diabetes mellitus patients in suburban communities,especially for central obesity and lipid control in patients,and active intervention in the management of blood glucose and blood pressure in female patients.