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目的利用美国伯乐D-10糖化血红蛋白分析仪进行老年糖尿病的糖化血红蛋白(HbA1c)检测,评价老年人群血糖自我监控水平。方法选择135例老年糖尿病患者,利用高压液相色谱法(HPLC)法检测HbA1c)。根据血糖控制评价标准分成3组,进行统计学分析。结果135例糖尿病患者HbAlc平均水平为(7.524±2.02)%,建议增加治疗措施的67例(49.63%),控制达标的42例(31.11%),非糖尿病水平26例(19.26%)。结论HPLC法可以作为HbA1c检测的金指标,老年糖尿病控制达标率低,血糖控制不理想存在因糖尿病并发症的危险,可能存在糖尿病控制的误区。需要加强对此类人群的监控。
Objective To measure the level of HbA1c in senile diabetes by using the American Bole D-10 HbA1c and evaluate the level of self-monitoring of blood glucose in the elderly. Methods 135 elderly patients with diabetes mellitus were selected for detection of HbA1c by high pressure liquid chromatography (HPLC). Divided into three groups according to the standard of glycemic control for statistical analysis. Results The average level of HbA1c in 135 diabetic patients was (7.524 ± 2.02)%. It was suggested that 67 cases (49.63%) should be treated and 42 cases (31.11%) should be controlled. There were 26 cases (19.26%) of non-diabetic patients. Conclusion HPLC method can be used as the gold index of HbA1c detection, the control rate of senile diabetes is low, and the blood sugar control is not ideal because of the risk of diabetic complications. There may be errors in the control of diabetes. Need to strengthen the monitoring of such people.