上海吕巷镇老年2型糖尿病患者糖化血红蛋白影响因素分析
Analysis of influencing factors of glycosylated hemoglobin in elderly people with type 2 diabetes in Lvxiang Community,Shanghai
庞振军 1梁耕实 2张国栋 1肖真真 3金燕 1夏伟萍1
作者信息
- 1. 上海市金山区吕巷镇社区卫生服务中心 预防保健科 上海 201517
- 2. 上海市金山区吕巷镇社区卫生服务中心 院办 上海 201517
- 3. 上海市金山区吕巷镇社区卫生服务中心 社区科 上海 201517
- 折叠
摘要
目的:分析上海吕巷镇 60岁以上老年 2型糖尿病(T2DM)患者糖化血红蛋白(HbA1c)现况及影响因素,为社区糖尿病防治提供数据参考.方法:收集自愿参与 2023 年上海吕巷镇 60 岁以上老年居民健康检查的T2DM患者中 599 份有效完整信息的数据,其中男性 280 例,平均年龄(70.10±6.22)岁,女性 319 例.平均年龄(69.18±5.90)岁.分析老年T2DM患者的HbA1c控制现况及影响因素.结果:老年T2DM患者HbA1c控制达标率为 22.54%.单因素分析显示,HbA1c达标组T2DM患者的年龄、高密度脂蛋白胆固醇(HDL-C)、血肌酐(CREA)和尿酸(UA)高于不达标组,而三酰甘油(TG)和空腹血糖(FPG)低于不达标组,差异均有统计学意义(均P＜0.05).相关性分析显示,T2DM患者HbA1c水平与年龄、HDL-C、CREA、UA为负相关,与TG和FPG为正相关(均P＜0.05).多因素分析显示,FPG(OR=6.339,95%CI:4.103～9.792)是老年T2DM患者HbA1c控制的危险因素(P＜0.05),HDL-C(OR=0.335,95%CI:0.193～0.581)、UA(OR=0.996,95%CI:0.993～0.998)是HbA1c控制的保护因素.结论:应加强社区老年T2DM患者对HbA1c水平及相关影响因素的定期监测,开展个性化精准干预和指导,提高血糖控制达标率.
Abstract
Objective:To investigate the status and influencing factors of glycosylated hemoglobin(HbA1c)in elderly patients with type 2 diabetes mellitus(T2DM)over 60 years old in Lvxiang Community of Shanghai,and to provide data reference for the prevention and treatment of diabetes in the community.Methods:A complete data of 599 patients with T2DM who voluntarily participated in the 2023 health examination for elderly residents aged 60 and above in lvxiang Community of Shanghai was collected,among them there were 280 males,the average age was(70.10±6.22)years,there were 319 females,and the average age was(69.18±5.90)years.Current status of HbA1c control and the influence factors of elderly patients with T2DM were analyzed.Results:Control compliance rate of HbA1c in the elderly patients with T2DM was 22.54% .Univariate analysis showed that the age,HDL-C,CREA and UA in the HbA1c compliant group were higher than those in the non-compliant group,while the TG and FPG in the HbA1c compliant group were lower than those in the non-compliant group(P＜0.05),and the difference was statistically significant(P＜0.05).Correlation analysis showed that HbA1c level in patients with T2DM was negatively correlated with age,HDL-C,CREA and UA,and was positively correlated with TG and FPG(P＜0.05).Multiple factors analysis showed that FPG(OR=6.339,95% CI:4.103-9.792)was a risk factor for elderly patients with T2DM(P＜0.05),HDL-C(OR=0.335,95% CI:0.193-0.581)and UA(OR=0.996,95% CI:0.993-0.998)were protective factors for HbA1c control(P＜0.05).Conclusion:It is necessary to strengthen the regular monitoring of patients with T2DM on HbA1c level and related influencing factors,carry out personalized and accurate intervention and guidance,and improve the rate of reaching the standard of blood sugar control.
关键词
2型糖尿病/老年人/糖化血红蛋白/影响因素/控制达标Key words
type 2 diabetes mellitus/elderly people/glycated hemoglobin/influencing factor/control compliance引用本文复制引用
出版年
2024
NETL
NSTL
万方数据