论文部分内容阅读
[目的]了解上海市黄浦区社区2型糖尿病患者中慢性并发症的患病率,并分析其相关危险因素。[方法]采用单纯随机抽样的方法,从黄浦区社区糖尿病患者管理系统中收集病例516例,通过采用自行设计的问卷调查采集患者的慢性并发症资料。[结果]糖尿病患者慢性并发症患病率分别为:心血管病变64.92%、感觉神经病变29.26%、眼睛病变28.10%、植物神经病变20.35%、脑血管病变20.15%、肾脏病变5.04%、运动神经病变3.10%、下肢血管病变2.71%,总患病率为77.71%。经单因素Logistic回归分析,初步筛选各类慢性并发症的相关因素,再用多因素Logistic回归分析,显示性别、年龄段、病程、服药、BMI、血压、血糖、饮食控制、体育锻炼、血糖测量以及总胆固醇和低密度脂蛋白是主要的影响因素。[结论]社区糖尿病患者中慢性并发症的患病率较高,通过对可控的糖尿病慢性并发症危险因素的干预,以预防糖尿病慢性并发症的发生。
[Objective] To investigate the prevalence of chronic complications in community-type 2 diabetic patients in Huangpu District, Shanghai and to analyze the related risk factors. [Methods] A total of 516 cases were collected from the community diabetes management system in Huangpu District by using a simple random sampling method. Chronic complications data were collected by using a self-designed questionnaire. [Results] The prevalence of chronic complications in diabetic patients were 64.92% of cardiovascular diseases, 29.26% of sensory neuropathy, 28.10% of optic nerve diseases, 20.35% of autonomic neuropathy, 20.15% of cerebrovascular diseases, 5.04% of renal diseases, Lesions 3.10%, lower extremity vascular lesions 2.71%, the overall prevalence was 77.71%. After univariate Logistic regression analysis, we initially screened the relevant factors of various chronic complications, and then used multivariate Logistic regression analysis to show that gender, age, course of disease, medication, BMI, blood pressure, blood glucose, diet control, physical exercise, As well as total cholesterol and low density lipoprotein are the main influencing factors. [Conclusion] The prevalence of chronic complications in community diabetic patients is high, which can prevent the occurrence of chronic complications of diabetes through the intervention of controlled risk factors of chronic complications of diabetes mellitus.