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目的了解贵州省成年人中糖尿病患者治疗情况,为慢病防治提供资料。方法采取多阶段整群随机抽样的方法,抽取12个县(市、区)中230名18岁以上糖尿病患者开展调查。用SPSS19.0对收集糖尿病患者治疗数据进行统计分析。结果有70.2%糖尿病患者采取了治疗,其中男女性治疗率分别71.2%和69.3%,男女性差异无统计学意义。各年龄段患者其治疗率不同,且治疗率随年龄增长而增长。有61.6%的患者采用了药物控制血糖,有42.0%的采用了非药物治疗措施。采用非药物治疗的人中城市高于农村,差异有统计学意义(χ~2=14.24,P<0.001);36.0%糖尿病治疗患者血糖控制在正常范围,其中男性34.2%,女性37.5%,女性血糖控制率高于男性,差异有统计学意义(χ~2=0.66,P=0.016)。城市患者血糖控制率40.0%,农村为34.7%,城市、农村之间差异无统计学意义。结论贵州省既往糖尿病患者治疗率较低,应加大糖尿病防治知识宣传教育提倡糖尿病的综合的防控措施,有效地控制血糖。
Objective To understand the treatment of diabetes in adults in Guizhou Province and provide information for prevention and treatment of chronic diseases. Methods A multistage cluster random sampling method was used to investigate 230 diabetic patients over 18 years of age in 12 counties (cities and districts). SPSS19.0 statistical analysis of the treatment of patients with diabetes statistics. Results 70.2% of diabetic patients took treatment, of which male and female treatment rates were 71.2% and 69.3%, respectively, with no significant difference between men and women. The treatment rate of patients of all ages is different, and the treatment rate increases with age. 61.6% of the patients used drugs to control blood sugar, and 42.0% used non-drug therapy. Among the non-drug-treated people, the urban areas were higher than the rural areas (χ ~ 2 = 14.24, P <0.001); 36.0% of the patients with diabetes treated in the normal range, with 34.2% of males and 37.5% of females The rate of glycemic control was higher than that of males (χ ~ 2 = 0.66, P = 0.016). The rate of blood glucose control in urban patients was 40.0% and that in rural areas was 34.7%. There was no significant difference between urban and rural areas. Conclusion The treatment rate of previous diabetes patients in Guizhou Province is relatively low. Knowledge and education on diabetes prevention and control should be increased to prevent and cure diabetes, and to effectively control blood sugar.