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目的评价上海市奉贤区社区管理2型糖尿病患者血糖控制情况,了解血糖控制的影响因素。方法采用问卷调查和临床检查相结合的方法调查社区2型糖尿病患者的血糖控制情况,并分析血糖控制影响因素。结果 193名患者糖化血红蛋白(HbA1c)的平均值为(7.7±1.4)%。根据中华医学会糖尿病协会(CDS)的控制目标,24.4%的患者HbA1c达标(<6.5%),根据ADA控制目标,34.2%的患者HbA1c达标(<7.0%)。多因素logistic回归分析结果显示,影响血糖控制效果的因素有人均月收入低、病程长、有家族史和无规律运动。结论目前奉贤区2型糖尿病血糖控制达标率较低,血糖控制受多种因素影响。
Objective To evaluate the glycemic control of type 2 diabetes in community management in Fengxian District of Shanghai and to understand the influencing factors of glycemic control. Methods The methods of questionnaire and clinical examination were used to investigate the glycemic control in community-type 2 diabetic patients and to analyze the influencing factors of glycemic control. Results The average of 193 patients with HbA1c was (7.7 ± 1.4)%. According to the control objectives of the Chinese Medical Association Diabetes Association (CDS), 24.4% of patients achieved HbA1c (<6.5%), and 34.2% of patients achieved HbA1c compliance (<7.0%) according to ADA control goals. Multivariate logistic regression analysis showed that the factors influencing the effect of glycemic control were low per capita monthly income, long duration of illness, family history and irregular exercise. Conclusions At present, the rate of glycemic control of type 2 diabetes in Fengxian District is low, and the control of blood glucose is affected by many factors.