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目的了解北京市永定路社区60岁以上2型糖尿病患者血糖、血脂、血压联合达标情况。方法以永定路社区192名60岁以上已诊断2型糖尿病患者为研究对象,进行规范化管理,观察30个月血糖、血脂、血压动态变化。结果观察期末餐后2 h血糖、三酰甘油(TG)、舒张压(DBP)达标率(76.37%、70.06%、78.02%)较入组时(56.28%、54.69%、59.90%)提高,差异均有统计学意义(P<0.01)。空腹血糖、糖化血红蛋白(HbA1c)、血清总胆固醇(TC)、收缩压(SBP)达标率(62.64%、58.62%、37.85%、50.00%)较入组时(55.73%、53.44%、33.33%、45.83%)提高,但差异无统计学意义(P>0.05)。低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)达标率(26.55%、29.38%)较入组时(34.74%、41.58%)下降,HDL-C差异有统计学意义(P<0.05),LDL-C差异无统计学意义(P>0.05)。30个月时达标良好率(30个月内测量总次数中达标次数≥75%)空腹血糖51.56%、餐后2 h血糖63.87%、HbA1c44.27%;血脂达标良好率TG 54.50%、TC 20.63%、LDL-C16.75%、HDL-C 21.99%;血压达标良好率SBP 22.40%、DBP 71.88%。观察期末较入组时HbA1c、SBP和DBP水平分别下降0.11%、2.2 mm Hg、3.42 mm Hg,而LDL-C增加0.04 mmol/L。观察期末三项指标联合达标率仅6.04%。结论社区老年糖尿病患者血糖、血脂及血压联合达标率较低,治疗中尤其要注重提高血脂水平的达标率。
Objective To understand the compliance of blood glucose, blood lipids and blood pressure in type 2 diabetic patients over 60 years old in Yongding Road community in Beijing. Methods A total of 192 patients with type 2 diabetes diagnosed over 60 years old in Yongdinglu community were studied for standardized management and the changes of blood glucose, blood lipid and blood pressure were observed 30 months later. Results The rates of blood glucose, triglyceride (TG) and DBP (76.37%, 70.06%, 78.02%) at the end of the 2th postprandial period were significantly higher than those of the control group (56.28%, 54.69%, 59.90% All were statistically significant (P <0.01). The compliance rate of fasting blood glucose, HbA1c, TC and SBP were significantly higher than those of the control group (55.73%, 53.44%, 33.33% 45.83%), but the difference was not statistically significant (P> 0.05). The compliance rates of low-density lipoprotein cholesterol (LDL-C) and high-density lipoprotein cholesterol (HDL-C) were significantly lower than those of the control group (26.55%, 29.38% vs 34.74%, 41.58% Significance (P <0.05), LDL-C difference was not statistically significant (P> 0.05). (P <0.05), fasting blood glucose 51.56%, postprandial blood glucose 63.87%, HbA1c 44.27%; good blood lipid compliance rate TG 54.50%, TC 20.63 %, LDL-C16.75%, HDL-C 21.99%; blood pressure compliance rate of SBP 22.40%, DBP 71.88%. At the end of the observation period, the levels of HbA1c, SBP and DBP decreased by 0.11%, 2.2 mm Hg and 3.42 mm Hg, respectively, while the LDL-C increased by 0.04 mmol / L. At the end of the observation period, the joint compliance rate of the three indicators was only 6.04%. Conclusion Elderly patients with diabetes in the community of blood glucose, blood lipids and blood pressure compliance rate is low, with particular attention to improve the treatment of blood lipid level compliance rate.