上海市某社区糖尿病患者血糖控制情况分析

Analysis on Blood Glucose Control Level of Patients with Diabetes in a Community of Shanghai

目的分析上海市某社区糖尿病患者糖尿病控制的现状,探寻影响糖尿病患者血糖控制水平的因素,为制订糖尿病社区综合防治策略提供依据。方法通过社区门诊、流行病学调查以及健康档案调阅的途径,收集患者的人口学资料,疾病相关信息、治疗情况及并发症发生情况,饮食、运动和健康教育等状况,来对患者血糖控制情况做出评估。结果 1,610名糖尿病患者的平均年龄为71.02岁,平均病程为9.55年,有并发症的患者占7.8%,血糖控制理想的仅占16.02%。规范化实施5项综合治疗措施的比例为34.9%,不同性别、家族史患者的血糖控制情况有统计学差异。血糖控制情况与健康教育之间有统计学关联。结论当前社区糖尿病患者糖尿病治疗不规范、患者规范化治疗比例低,影响血糖控制情况的因素包括年龄、高血压、患病年限以及日常行为是否规范。应有针对性地对患者开展健康教育与健康促进,提高糖尿病患者的血糖控制率。

Objective To describe the level of blood glucose of the diabetes cases and to explore influential factors and provide the evidences for making policies and measures of community prevention for diabetes in Shanghai. Methods By means of community clinics, epidemiological investigation and health records, the information of demographic indicators, disease-related information, treatments undertaken, complications, diet control, exercise and health education, were collected, and the blood glucose control level was assessed. Results Average age of 1,610 patients was 71.02 years old. Average course of disease was 9.55 years old. 7.8% of patients had complications, 16.02% of patients were of well-controlled glucose level. Participants who well-practiced all the five treatment strategies accounted for 34.9%.The control level of blood glucose among patients of different gender groups was significantly different, and the same result with respect to different family histories. Health education and control of blood glucose level were statistically correlated. Conclusion Most patients with diabetes received nonstandard treatment, and the rate of standard treatment was lower. Factors that influenced the control of blood glucose level were gender, the years of illness and the daily behavior. To increase blood glucose control rate, health education should be given targeting at different patients.