Status quo and influencing factors of chronic complications in type 2 diabetes mellitus patients in community
Objective:To understand the chronic complications of type 2 diabetes mellitus patients in our city,ex-plore its possible influencing factors,and provide a basis for the development and management of diabetes-related policies in our city.Methods:In October 2023,600 patients with diabetes in our city were selected from the Na-tional Basic Public Health System through stratified sampling,and the information was collected by means of ques-tionnaire+physical measurement+biochemical detection to describe the status quo of chronic complications of dia-betes patients and the influencing factors were analyzed.Results:A total of 562 patients with diabetes were includ-ed in the study,with a mean age of(67.53±8.35)years,and the prevalence of chronic complications was 97.5％.The results of multivariate Logistic regression analysis showed:the combination of hypertension and dyslip-idemia was a risk factor for chronic complications of type 2 diabetes,such as diabetic foot(OR=2.61,95％CI:2.03-3.36),diabetic nephropathy(OR=2.05,95％CI:1.62-2.60),peripheral neuropathy(OR=2.43,95％CI:1.89-3.12),diabetic retinopathy(OR=1.85,95％CI:1.47-2.33),cerebrovascular diseases(OR=4.10,95％CI:2.93-5.75),and cardiovascular diseases(OR=4.46,95％CI:3.14-6.34).In addition,high body mass index(BMI)was the risk factor for chronic complications such as diabetic nephropathy(OR=1.10,95％CI:1.01-1.19),cardiovascular disease(OR=1.12,95％CI:1.03-1.23),and cerebrovascular disease(OR=1.11,95％CI:1.00-1.22).Systolic pressure(SBP)was a risk factor for cerebrovascular disease(OR=1.03,95％CI:1.00-1.06).Non-habitual nap was a risk factor for diabetic retinopathy(OR=1.88,95％CI:1.09-3.24).Conclusion:Attention should be paid to the chronic complications of diabetic patients.For patients with non-habitual nap,combined obesity,and patients with hypertension and(or)dyslipidemia,bad living habits should be corrected in time and regular screening should be conducted to improve the quality of life of diabetic patients.
type 2 diabetes mellituschronic complicationsdisease statusinfluencing factors
万方数据
维普
