2型糖尿病患者控制状况探讨.pdfVIP

286 职业与健康 2008年2月第24卷第3期 Oceup and Health Vo1 ． 24 No．3 Feb 2008 2型糖尿病患者控制状况探讨 【基础医学．相关疾病与临床】 Exploration of Type 2 Diabetes Control 张秋梅，李静 ZHANG Qiu—mei，LI．1ing 摘要 目的 探讨2型糖尿病患者血糖、血脂和血压的控制状况。方法 选择2006年到天津医科大学代谢病医院就诊的2 型糖尿病患者111例，其中接受过糖尿病教育者39例，未接受过糖尿病教育的72例。均测定糖化血红蛋白(HbAlc)、血脂 和血压。结果 2型糖尿病患者HbAlc、血脂和血压的控制达标率为21．6％、8．1％和9．0％。接受过糖尿病教育的患者 HbAlc检测结果明显低于未接受过教育者(P0．01)。结论 2型糖尿病患者的控制现状不容乐观，系统的糖尿病教育具 有一定作用。 关键词 2型糖尿病；糖化血红蛋白；高血压；血脂；教育 中国图书资料分类号；R587．1 文献标识码：B 文章编号：1004—1257(2008)03—0286—02 subjeet Exploration of Type 2 Diabetes Control Authors ZHANG Qiu—mei，LI Jing(Hospital ofMetabolic Diseases，Tianfin Medical University，Tianjin，300070，China) Abstract [Objective]To explore the blood sugar，blood lipid and blood pressure control of type 2 diabetes patients．[Methods] 11 1 cases of type 2 diabetes were selected from the Hospital of Metabolic Diseases of Tianjin Medical University．among which 39 pa— tients had received diabetes education and 72 patients had none；HbAlc l blood lipid and blood pressure of the patients were deter— mined．[Results]11le eligible rates of HbAlc，blood lipid and blood pressure control of the type 2 diabetes patients were 21．6％， 8．1％ and 9．0％ respectively：the result of HbAlc detection of the patients who had received diabetes education was significantly lower than that of the patients who had received no diabetes education(P0．01)．[Conclusion]The control situation of the type 2 diabetes patients was not satisfactory；systematic education on diabetes is proved to be effective． Key words Type 2 diabetes；HbAlc；Blood pressure；Blood lipid；Education 多个循证医学研究显示，强化血糖控制可以减少糖尿病并 1．3 统计方法 所有数据均使用SPSS 11．5进行统计学处理。 发症的发生和进展，糖化血红蛋白作为衡量糖尿病患者长期血 糖控制的金指标，其临床意义已得到内分泌科医生的普遍认可， 2 结果 但在接受糖尿病治疗患者中的状况究竟如何，患者并存的其他 2．1 血糖控制状况 参照亚太2型糖尿病治疗指南” 及中国 危险