【摘要】 目的了解糖尿病患者血糖控制的影响因素,为采取有效干预措施提供依据。方法按照分层整群抽样的方法,对2个乡镇2个行政村206例诊糖尿病患者进行问卷调查、身体测量和实验室检测,以血糖控制是否达标为变量,进行单因素和多因素分析,探讨血糖控制的影响因素。结果调查206例糖尿病患者中血糖控制达标145例,血糖控制达标率70.39%。单因素分析显示,年龄、肥胖、血脂异常、参加自我管理小组活动、糖尿病专科门诊就诊、降糖药物使用、血糖自测、蔬采日食用量、日运动量、饮酒等对血糖控制的影响有统计学意义(均P<0.05)。多因素logistic回归分析显示,患者年龄(OR=2.379)、专科门诊就诊频次(OR=0.028)、蔬菜日食用量(OR=0.349)、饮酒(OR=2.553)、日运动量(OR=0.229)、降糖药物使用情况(OR=39.384)等是本地区糖尿病患者血糖控制的主要影响因素。结论盐城市盐都区糖尿病患者血糖控制情况欠佳,血糖控制状况受患者年龄、专科门诊就诊频次、蔬菜日食用量、饮酒、日运动量、降糖药物使用的影响,应积极采取综合治疗措施控制血糖和防止发生并发症。更多还原

【Abstract】 Objective To understand the influencing factors of blood glucose control in diabetic patients, to provide evidence for effective intervention. Method According to the method of stratified cluster sampling, 206 questionnaires, physical measurements and laboratory tests were performed on206 diabetic patients in two administrative villages in two townships. The single factor and multivariate analysis were used to analyze the influencing factors of blood glucose control. Result Totally 145 patients achieved successful blood glucose control and the compliance rate was 70.39%. Univariate analysis showed that age, obesity, dyslipidemia, self-management group activities, diabetes specialist outpatient treatment, hypoglycemic drug use, blood glucose self-test, daily consumption of fruits and vegetables, daily exercise, drinking affected blood glucose control of diabetic patients(P<0.05). Multivariate logistic regression analysis showed that the age of patients(OR=2.379), the frequency of specialist outpatient visits(OR=0.028), dietary consumption(OR=0.349), alcohol consumption(OR=2.553),daily exercise(OR=0.229) and the use of hypoglycemic agents(OR=39.384) was the main influencing factor of blood glucose control in patients with diabetes mellitus in this region. Conclusion The current situation of blood glucose control in diabetic patients in Yandu district is not good, which is influenced by the patient’s age, specialist outpatient treatment frequency, vegetable daily consumption, alcohol consumption, daily exercise and the use of hypoglycemic drugs. Comprehensive treatment measures should be actively applied to control blood glucose and prevent complications.更多还原