摘要
目的了解住院2型糖尿病(type 2 diabetes mellitus,T2DM)患者的血糖控制情况及合并症和并发症的发生率,为T2DM患者血糖管理实践提供参考依据。方法选取2020年6—9月青海省人民医院内分泌科院治疗的189例T2DM患者作为研究对象,收集整理患者电子病历中的一般人口学特征、代谢指标以及出院诊断等信息,了解患者血糖控制情况及合并症、并发症的发生率,采用SPSS 23.0软件对数据进行t检验和χ^(2)检验,分析血糖控制的影响因素。结果189例住院T2DM患者中,大专以下学历占58.20%,汉族占73.54%,超重和肥胖者占59.34%,腹型肥胖者占72.54%。糖化血红蛋白(glycosylated hemoglobin A_(1c),HbA_(1c))总体达标率为12.57%。年龄和病程是住院T2DM患者血糖控制的影响因素,年龄>45~59岁和病程>5~10年的患者血糖控制水平更差,差异有统计学意义(P<0.01或P<0.05)。空腹血糖、75 g口服葡萄糖耐量试验后的2 h血糖以及HbA_(1c)水平是血糖达标的影响因素,差异有统计学意义(P<0.01)。检出率前10位的合并症和并发症依次是颈动脉粥样硬化性病变(69.31%)、脂代谢异常(65.08%)、脂肪肝(58.73%)、维生素D缺乏症(51.85%)、糖尿病周围神经病变(43.39%)、高血压(39.15%)、下肢动脉粥样硬化性病变(38.62%)、肾病(36.51%)、眼病(32.80%)、甲状腺病变(31.22%)。结论青海省人民医院T2DM住院患者血糖控制不佳,合并症和并发症检出率高,需进一步加强血糖控制以及高发合并症和并发症的预防、筛查和干预,综合控制血糖达标,提高T2DM患者血糖控制水平和生活质量。
Objective To investigate blood glucose management and the incidence of complications in inpatients with type 2 diabetes(T2 DM),and to provide the basis for blood glucose management of T2 DM patients.Methods The current study involved 189 inpatients with T2 DM between June and September2020.The general demographic characteristics,metabolic indicators,and discharge diagnoses of the patients were collected from the electronic medical records.The blood glucose levels,glucose management regimen,and factors influencing blood glucose control were analyzed usingχ^(2)and t tests with SPSS 23.0 software.The incidence of complications was analyzed based on percentages.Results Of the 189 patients with T2 DM,the majority were of Han nationality(73.54%),overweight and obese(59.34%),had abdominal obesity(72.54%)and were under-educated(58.20%).The HbA_(1c)control rate was 12.57%.The age and course of diabetes were the main risk factors for glucose management.Patients 45-59 years of age with T2 DM for 5-10 years had the worst glycemic control(P<0.01 or P<0.05).The FBG,OGTT 2 hPG,and HbA_(1c)levels were the main risk factors for controlling HbA_(1c)(P<0.01).The top 10 complications were carotid atherosclerotic disease(69.31%),abnormal lipid metabolism(65.08%),fatty liver disease(58.73%),vitamin D deficiency(51.85%),diabetic peripheral neuropathy(43.39%),hypertension(39.15%),lower limb atherosclerotic disease(38.62%),diabetic nephropathy(36.51%),diabetic retinopathy(32.80%),and thyroid disease(31.22%).Conclusion The blood glucose management of the inpatients with T2 DM in one hospital was poor,and the incidence of complications was high.Therefore,glucose management,screening,and intervention of high-risk complications should be strengthened to improve blood glucose control and the quality of life of T2 DM patients.
作者
王爱霞
董华措
张金霞
王亚峰
WANG Ai-xia;DONG Hua-cuo;ZHANG Jin-xia;WANG Ya-feng(PIVAS,Qinghai Provincial People’s Hospital,Xining,Qinghai 810007,China)
出处
《慢性病学杂志》
2021年第12期1813-1817,1822,共6页
Chronic Pathematology Journal
关键词
糖尿病
2型
血糖控制
合并症
并发症
Diabetes mellitus,type 2
Blood glucose control
Complications
