老年2型糖尿病患者血糖控制情况及影响因素

发布时间：2018-01-05 20:28

  本文关键词：老年2型糖尿病患者血糖控制情况及影响因素　出处：《中国老年学杂志》2016年04期 　论文类型：期刊论文

  更多相关文章： 型糖尿病 糖化血红蛋白

【摘要】：目的了解老年2型糖尿病患者糖化血红蛋白(Hb A1c)达标现状及其影响因素。方法采用横断面调查方法,收集223例老年2型糖尿病患者临床及实验室资料,评估Hb A1c7.0%的达标率,分析其影响因素。结果平均年龄(69.9±6.8)岁,Hb A1c为(7.2±1.5)%,Hb A1c7.0%患者占59.2%。空腹血糖(FPG)7.2 mmol/L占59.2%,餐后2 h血糖(2 h PG)10.0 mmol/L占45.3%,其中FPG7.2 mmol/L或2 h PG10.0 mmol/L患者中Hb A1c7.0%的比例均超过80%。按年龄60~69岁、70~79岁、≥80岁分组,Hb A1c、FPG、2 h PG组间差异均无统计学意义(P0.05)。按治疗方案分组,其中单药治疗患者占23.3%,两药联用占39.5%,三药联用占28.3%,加用胰岛素治疗患者占8.9%。各组间Hb A1c、FPG、2 h PG差异均有统计学意义(P0.05),随着治疗方案升级,Hb A1c7.0%的患者比例从84.6%降至30.0%。结论老年2型糖尿病患者年龄对血糖达标率影响不大。病程早期选择合适的治疗方案可以达到血糖的良好控制。当采用多种药物或胰岛素治疗,Hb A1c仍不达标时需要注意可能存在恶化的餐后血糖。
[Abstract]:Objective to understand the status quo of HbA1c in elderly patients with type 2 diabetes mellitus and its influencing factors. The clinical and laboratory data of 223 elderly patients with type 2 diabetes mellitus were collected to assess the reaching rate of HB A1c7.0% and to analyze the influencing factors. Results the average age was 69.9 卤6.8 years. HbA1c accounted for 59.2% of patients with HbA1c7.0%, and fasting blood glucose (FBG) 7.2FG mmol/L accounted for 59.2%. 2 h postprandial blood glucose and 2 h PG)10.0 mmol/L accounted for 45.3%. The percentage of HbA1c7.0% in patients with FPG7.2 mmol/L or 2 h PG10.0 mmol/L was more than 80%. There was no significant difference in HbA1cFGN 2 h PG group between 70 and 79 years old, 鈮，

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