石河子社区2型糖尿病患者治疗现状分析

发布时间：2018-03-25 22:00

  本文选题：石河子　切入点：社区　出处：《石河子大学》2016年硕士论文

【摘要】：目的:调查石河子社区2型糖尿病患者的患病情况(包括一般人口学特征、相关病史、生活与行为方式、体测、实验室检查、并发症、药物使用情况等),了解石河子市2型糖尿病治疗现状,取得较全面的石河子2型糖尿病治疗现状的基线资料。方法:采用整群随机抽样方法,在石河子所辖十三个社区内选取符合纳入标准的2型糖尿病患者,采用面对面信息采集方法,填写调查表。收集基线资料:患者一般人口学特征、相关病史、生活与行为方式、体测、药物使用情况,并完成实验室检查及并发症的筛查。并利用Epidata3.02软件建立数据库文件并进行数据录入,用SPSS17.0查错,并进行数据分析。结果:1、共纳入研究对象655例。2、基本情况:男性285例,女性370例,平均年龄66.99±9.91岁。病程平均为9.5±7.3年。3、生活与行为方式:自我监测血糖行为欠佳,遵医嘱服药行为可,吸烟、饮酒行为仍存在,膳食可做到搭配合理,碳水化合物总量较高。4、体测及实验室检查:BMI达标率25.03%,WHR达标率:男性10.52%、女性6.49%,SBP达标率72.06%,DBP达标率69.47%,TC达标率32.98%,HDL-C达标率:男性73.33%、女性59.45%,LDL-C达标率28.24%,TG达标率57.71%,FPG达标率47.33%,2h PG达标率44.73%,Hb Alc达标率51.91%。对Hb Alc的logistic多因素回归分析:腰臀比及遵医嘱服药行为为影响因素(P0.05)。5、并发症筛查:视网膜病变者42.65%,左下肢ABI降低率8.6%,右下肢ABI降低率8.4%,轻触觉异常者88.9%,温凉觉异常者6.65%,左下肢震动感觉阈值平均值18.50±8.69,右下肢震动感觉阈值平均值18.05±8.02。双下肢震动感觉阈值差异有统计学意义(P0.05)..6、药物使用情况:降糖药使用率前三位:双胍类、α-糖苷酶抑制剂、胰岛素,不良反应前三位:低血糖反应、胃肠道反应、体重减轻,降压药物使用率前三位:CCB类、ARB类、β受体阻滞剂类。结论:1、石河子市社区T2DM患者治疗方案较合理,血糖控制尚可。2、加强社区慢性病管理,建立规范的糖尿病综合防治体系迫在眉睫。
[Abstract]:Objective: to investigate the prevalence of type 2 diabetes mellitus in Shihezi community (including general demographic characteristics, related medical history, life and behavior style, physical examination, laboratory examination, complications). In order to understand the current situation of treatment of type 2 diabetes in Shihezi City and obtain more comprehensive baseline data of treatment status of type 2 diabetes mellitus, methods: cluster random sampling method was used. In 13 communities under Shihezi's jurisdiction, type 2 diabetes patients who met the inclusion criteria were selected, and face to face information collection method was used to fill out questionnaires. Baseline data were collected: general demographic characteristics of patients, relevant medical history, life and behavior patterns. Body test, drug use, laboratory examination and screening of complications were completed. Database files were set up by Epidata3.02 software and data input was carried out. SPSS17.0 was used to check errors. Data analysis was carried out. Results: 1: 1, 655 cases. The basic condition: 285 males, 370 females, mean age 66.99 卤9.91 years. The average course of disease was 9.5 卤7.3 years. The life and behavior style: self monitoring of blood glucose behavior was poor, the average age was 66.99 卤9.91 years, and the average course of disease was 9.5 卤7.3 years. According to doctor's advice, the behavior of taking medicine, smoking and drinking still exists, and the diet can be matched reasonably. The total carbohydrate content was higher. The percentage of body test and laboratory examination was 25.03 and that of WHR was 10.52% for males, 69.47% for DBP for females, 72.06% for DBP and 32.98% for HDL-C: male 73.3333, female 59.45 LDL-C 28.2424 and FPG 57.71g. The logistic multivariate regression analysis of HB Alc showed that waist hip ratio and compliance with doctor's instructions were the influencing factors (P 0.05). Complication screening: retinopathy 42.65%, left lower extremity ABI 8.6%, right lower extremity ABI 8.4%, light tactile difference. The average of the left lower limb vibration sensation threshold was 18.50 卤8.69, and the right lower extremity vibration sensation threshold value was 18.05 卤8.02. The difference of the double lower limb vibration sensation threshold was statistically significant (P 0.05. 05. 6). The drug use: the first three hypoglycemic drugs were used in the first three places. : biguanidine, 伪 -glucosidase inhibitors, Insulin, the first three adverse reactions: hypoglycemia, gastrointestinal reaction, weight loss, the use of antihypertensive drugs in the first three: CCB class ARB, 尾 receptor blockers. Conclusion: 1, Shihezi community T2DM patients treatment plan is more reasonable, It is urgent to strengthen the management of chronic diseases and establish a standardized comprehensive prevention and treatment system for diabetes mellitus.
【学位授予单位】：石河子大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R587.1
，

本文编号：1665033