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目的:探讨2型糖尿病患者入院前对糖尿病相关知识及并发症的掌握。方法:建立问卷调查表了解患者年龄、身高、体重、糖尿病病史、既往有无高血压、高血脂、有无周围神经病变、糖尿病视网膜病变、糖尿病肾病;有无低血糖的发作,对药物治疗有无了解,血糖监测的频率及是否检查过糖化血红蛋白进行调查;入院后对所有患者完善血脂、糖化血红蛋白、空腹血糖和餐后血糖的检测。结果:2型糖尿病患者接受饮食控制和糖尿病教育的不足50%;对糖尿病周围神经病变、糖尿病视网膜病变、糖尿病肾病等并发症的知晓率为27.7%;曾经查过糖化血红蛋白的占38.2%,其中糖化血红蛋白超过7%的占59.1%;存在高甘油三酯血症的占58.3%;空腹血糖大于6.1mmol/l和餐后血糖大于7.8 mmol/l的各占39.6%和49.7%。结论:2型糖尿病患者对糖尿病基本知识缺乏及对慢性并发症的知晓率低,是导致2型糖尿病患者血糖控制难以治疗达标的原因。
Objective: To investigate the knowledge of diabetes and the complication of type 2 diabetes before admission. Methods: To establish a questionnaire to understand the patient’s age, height, weight, history of diabetes, with or without high blood pressure, hyperlipidemia, with or without peripheral neuropathy, diabetic retinopathy, diabetic nephropathy; No understanding of the frequency of blood glucose monitoring and whether to check the glycosylated hemoglobin to investigate; after admission to all patients to improve blood lipids, glycosylated hemoglobin, fasting blood glucose and postprandial blood glucose testing. Results: Less than 50% of patients with type 2 diabetes underwent diet control and diabetes education. The rate of awareness of complications such as diabetic peripheral neuropathy, diabetic retinopathy and diabetic nephropathy was 27.7%. HACD was found in 38.2% 59.1% with HbA1c over 7%; 58.3% with Hypertriglyceridemia; 39.6% and 49.7% with fasting blood glucose> 6.1mmol / l and postprandial glucose> 7.8mmol / l respectively. Conclusion: The lack of basic knowledge of diabetes and the awareness of chronic complications in patients with type 2 diabetes is the reason for the difficulty in achieving glycemic control in patients with type 2 diabetes.