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目的调查空军驻京部队老干部中2型糖尿病(T2DM)患者的降糖治疗方案应用及血糖控制情况,并分析治疗方案与血糖控制之间的关系。方法采用调查问卷形式采集患者的基本情况、降糖方案、依从性等,抽血查空腹(FPG)、餐后2h血糖(2hPG)、糖化血红蛋白(HbA1c)。按HbA1c水平分为达标组(HbA1c<7.0)和未达标组(HbA1c≥7.0);再按降糖治疗方案情况分为生活方式口服降糖药、胰岛素组、胰岛素联合口服药组。结果共调查患者303例,治疗依从率为65.0%,HbA1c(7.0±1.2)%,控制理想者(HbA1c<7.0%)占56.1%。治疗方案的选择上应用单纯口服药治疗者最多占57.1%,此组治疗方案依从性也最高。胰岛素组与胰岛素联合口服药组HbA1c均值、HbA1c未达标患者、病程均高于口服药治疗组,治疗依从性则远低于口服药治疗组。结论部队老干部2型糖尿病治疗方案的选择基本合理,血糖控制水平及依从性均优于或不差于国内、外水平。对于老年患者,在血糖控制理想的情况下,尽可能选择简单易操作的治疗方案。
Objective To investigate the application of glycemic control and glycemic control in patients with type 2 diabetes mellitus (T2DM) in veterans of the Air Force in Beijing and to analyze the relationship between treatment regimen and glycemic control. Methods The basic situation of the patients collected by questionnaire, hypoglycemic regimen, compliance and so on were investigated. Fasting plasma glucose (FPG), 2h postprandial blood glucose (2hPG) and HbA1c were measured. HbA1c levels were divided into the standard group (HbA1c <7.0) and the group that did not meet the standard (HbA1c≥7.0); and then divided into lifestyle oral hypoglycemic agents, insulin group, insulin combined with oral drug group. Results A total of 303 patients were investigated. The treatment compliance rate was 65.0%, HbA1c (7.0 ± 1.2)% and control ideal (HbA1c <7.0%) accounted for 56.1%. Treatment options on the application of simple oral medication accounted for up to 57.1%, this group also has the highest compliance treatment options. Insulin group and insulin combination oral HbA1c mean, HbA1c patients who did not meet the standard, duration of treatment were higher than the oral medication group, the treatment compliance is much lower than the oral medication group. Conclusions The selection of type 2 diabetes mellitus for veteran cadres is basically reasonable, and the level of blood sugar control and compliance are superior or not worse than those at home and abroad. For the elderly patients, in the ideal case of glycemic control, as far as possible choose a simple and easy to use treatment options.