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目的了解2型糖尿病(T2DM)患者糖化血红蛋白(HbA1c)达标率及其影响因素,分析HbA1c控制与其慢性合并症、并发症的关系。方法收集T2DM现患病例一般信息、自我管理信息、治疗方案、临床指标等数据。根据HbA1c水平分组并进行组间比较。结果 (1)HbA1c达标率为22.1%;(2)未达标组合并脑血管疾病、糖尿病视网膜病变的比率明显高于达标组(P<0.001,P=0.008);(3)39.3%患者血糖监测频率≥4次/月,10.8%患者HbA1c监测频率≥3次/a,5.8%患者血糖监测频率≥4次/月且HbA1c监测频率≥3次/a,患者知晓糖尿病知识、控制饮食、规律运动的比例分别为35.4%、31.4%、53.1%。结论 T2DM患者的HbA1c达标率低;HbA1c控制与糖尿病合并症、并发症有关;应通过加强个性化的糖尿病教育提高患者自我管理意识。
Objective To investigate the compliance rate of HbA1c in type 2 diabetes mellitus (T2DM) patients and its influencing factors, and to analyze the relationship between HbA1c control and its chronic complications and complications. Methods The data of T2DM cases, general information, self-management information, treatment plan and clinical indexes were collected. Grouping according to HbA1c level and comparing between groups. Results (1) The HbA1c compliance rate was 22.1%. (2) The rate of non-compliance group with cerebrovascular disease and diabetic retinopathy was significantly higher than that of the standard group (P <0.001, P = 0.008) Frequency of ≥ 4 times / month, 10.8% of patients HbA1c monitoring frequency ≥ 3 times / a, 5.8% patients with glycemic monitoring frequency ≥ 4 times / month and HbA1c monitoring frequency ≥ 3 times / a, patients with diabetes knowledge, diet, regular exercise The proportions were 35.4%, 31.4% and 53.1% respectively. Conclusions The HbA1c compliance rate in T2DM patients is low. The control of HbA1c is related to complications and complications of diabetes mellitus. Patient self-management awareness should be enhanced by strengthening individualized diabetes education.