首页|血脂异常对南京市社区2型糖尿病患者血糖控制的影响

血脂异常对南京市社区2型糖尿病患者血糖控制的影响

The association between dyslipidemia and glycemic control among community patients with type 2 diabetes in Nanjing,China

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目的:了解血脂异常对南京市社区2 型糖尿病患者血糖控制的影响.方法:采用多阶段分层整群抽样方法,随机抽取南京市18 岁以上社区糖尿病患者5 663 例作为研究对象,采用多因素Logistic回归分析血脂异常对糖尿病患者血糖控制的作用.结果:5 663 例糖尿病患者空腹血糖控制率为39.8%(95%CI 38.5%~41.1%),其中血脂正常患者控制率为 43.5%(95%CI 41.6%~45.4%),血脂异常患者控制率为 36.6%(95%CI 34.9%~38.3%).经调整年龄、性别、城乡、受教育水平、职业、高血压、吸烟、饮酒、体质指数、体力活动、糖尿病家族史和规律服药后,血脂异常患者空腹血糖控制率是血脂正常者的 0.70 倍(95%CI 0.62~0.79,P<0.001).进一步按性别、城乡和是否规律使用降糖药分层分析显示,各亚组分析结果与总体情况一致.结论:血脂异常会降低社区2 型糖尿病患者的血糖控制达标率.
Objective:To investigate the association between dyslipidemia and glycemic control among community patients with type 2 diabetes.Methods:Totally 5 663 community patients with type 2 diabetes(T2D)were randomly selected from urban and rural communities by multi-stage stratified cluster random sampling.Multivariable Logistic regression models were employed to estimate the associations between dyslipidemia and glycemic control among T2D patients.Results:The glycemic control rate was 39.8%(95%CI 38.5%-41.1%),while that of T2D patients with normal blood lipid and T2D patients with dyslipidemia were 43.5%(95%CI 41.6%-45.4%),36.6%(95%CI 34.9%-38.3%),respectively.After adjustment for potential confounders such as age,gender,residence etc,T2D patients with dyslipidemia were at 0.70(95%CI 0.62-0.79,P<0.001)times odds to have glycaemia under control than patients with normal blood lipid.Furthermore,when stratified separately by gender,residence and use of anti-diabetes agents,Similar outcomes were observed from all sub-groups.Conclusion:Dyslipidemia might have a negative effect on glycemic control among T2D patients in Nanjing China.

dyslipidemiaglycemic controlcommunity patients with type 2 diabetes

张皓、王志勇、胡彩红、刘蒙利、张璇、郑志丹

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南京市中心医院 河西门诊部管理办公室,江苏 南京 210008

南京市疾病预防控制中心 基本公共卫生服务技术指导办公室,江苏 南京 210003

血脂异常 血糖控制 社区2型糖尿病患者

2024

现代医学
东南大学

现代医学

CSTPCD
影响因子:0.703
ISSN:1671-7562
年,卷(期):2024.52(2)
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