摘要
目的动态监测老年人2型糖尿病患者血糖变化,分析血糖稳定性的影响因素,为糖尿病患者血糖控制及制定指导方案等方面提供数据支持。方法通过问卷调查、体格测量和实验室检查收集患者基线的相关信息,动态监测社区糖尿病患者血糖水平2年;根据同一患者不同时间点血糖变异程度,将患者区分为监测过程中稳定型和非稳定型;利用logistic回归分析血糖监测过程中血糖稳定性的影响因素;统计分析采用SAS 9.2软件完成。结果调查对象共486人,男性占54.32%,男女性别比为1.19:1。血糖稳定314人,不稳定172人,血糖稳定所占的比例为64.61%。多因素分析结果显示,最终自变量睡眠时间、锻炼时间、吸烟情况进入模型。睡眠时间是糖尿病患者血糖不稳定的危险因素。睡眠时间低于6小时患者发生血糖不稳定的风险是睡眠时间6~8小时患者的1.661倍(OR=1.661),睡眠时间高于8小时患者发生血糖不稳定的风险是睡眠时间6~8小时患者的2.244倍(OR=2.244)。锻炼时间是糖尿病患者血糖不稳定的保护因素,与从不锻炼的患者相比,锻炼时间120分钟及以上的患者发生血糖不稳定的风险降低(OR=0.436)。吸烟是糖尿病患者血糖不稳定的危险因素,吸烟患者发生血糖不稳定的风险是从不吸烟患者的5.641倍(OR=5.641)。结论睡眠时间过短或过长,锻炼时间过短或从不锻炼以及吸烟均是糖尿病患者血糖不稳定的危险因素,应加强老年人2型糖尿病患者者的健康宣教工作,倡导健康生活方式。
Objective To monitor the dynamic changes in blood glucose, analyze its influencing factors in elderly patients with type 2 diabetes mellitus in Qiqihar, and provide data support for targeted prevention and control measures. Methods Questionnaires, physical measurements and laboratory tests were used to collect relevant baseline information of the patients. We have monitored dynamically the levels of blood glucose for two years. According to the degree of variation of blood glucose at dif- ferent time of the same patient,these patients were divided into the stable group and the instable grooup. Logistic regression was used to analyze the influencing factors of the glucostasis in the blood glucose monitoring and SAS 9.2 software was used for statis- tical ＇analysis. Results The survey involved 486 people, including 264 （54.32%） males, and 222 （45.68%） females, with the sex ratio 1.19 ： 1. The number of stable blood glucose patients was 314, and there were 172 people with unstable blood glu- cose, with the proportion of blood glucose stability 64.61%. Sleeping time, exercising time and smoking had an impact on blood glucose stability in the multivariate analysis of blood sugar stability in diabetes mellitus. Sleeping time which was too short or too long was a risk factor for blood glucose instability in diabetes mellitus patients. Exercising time was a protective factor for blood glucose instability in diabetes mellitus patients （OR= O. 436）. Smoking was a risk factor for blood glucose instability in diabetes mellitus patients （ OR = 5. 641 ）. Conclusion Sleeping time, exercising time and smoking were the risk factors for blood glucose instability in diabetes mellitus patients. The staff in the Community Health Service Center should strengthen health education in this part of diabetes patients and advocate a healthy lifestyle.
作者
金美娜
张秋菊
刘美娜
Jin Meina Zhang Qiujul Liu Meina(Department of Epidemiology and Health Statistics, School of Public Health, Harbin Medical University, Harbin 150081, China The First Affiliated Hospital of Qiqihar Medical University.)
出处
《中国医院统计》
2017年第4期245-249,253,共6页
Chinese Journal of Hospital Statistics
基金
国家科技支撑计划(2011BA109B02)
关键词
糖尿病
血糖
控制
稳定性
diabetes mellitus
blood glucose
control
stability
