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目的了解北京城乡结合部社区2型糖尿病患者糖化血红蛋白(HbA1c)控制现状,分析其可能的影响因素,为糖尿病患者社区管理个体化方案提供依据。方法选择社区内2型糖尿病患者,测量身高、体质量、血压,检测血糖、血脂、HbA1c。以HbA1c控制水平<7.0%或≥7.0%,分为两组,即A组(<7.0%)和B组(≥7.0%)。采用SPSS11.5软件进行统计分析。结果A组中HbA1c与BMI、血糖、总胆固醇、低密度脂蛋白胆固醇有相关性(P<0.05),B组中HbA1c与血糖、总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋胆固醇白间有相关性(P<0.05)。结论HbA1c与空腹及餐后2h血糖、血脂之间具有关联性,定期检测HbA1c对2型糖尿病的长期稳定控制有重要意义。
Objective To understand the current status of glycosylated hemoglobin (HbA1c) control in community-typed diabetes mellitus in urban-rural Beijing and to analyze its possible influencing factors, so as to provide a basis for individualized community management programs in patients with diabetes mellitus. Methods Patients with type 2 diabetes mellitus in the community were selected for measurement of height, body mass, blood pressure, blood glucose, blood lipid, HbA1c. Patients were divided into two groups, ie, group A (<7.0%) and group B (≥7.0%) with HbA1c control levels <7.0% or ≥7.0%. Using SPSS11.5 software for statistical analysis. Results There was a significant correlation between HbA1c and BMI, blood glucose, total cholesterol and low density lipoprotein cholesterol (P <0.05) in group A and between HbA1c and blood glucose, total cholesterol, high density lipoprotein cholesterol, low density lipoprotein cholesterol There was a correlation (P <0.05). Conclusions There is a correlation between HbA1c and fasting and 2h postprandial blood glucose and lipids, and regular detection of HbA1c is of great significance for long-term stable control of type 2 diabetes.