现代医药卫生Issue(9)：1283-1286,4.DOI:10.3969/j.issn.1009-5519.2014.09.002
2型糖尿病患者糖化血红蛋白监测结果分析
Analysis of the monitoring results of HbA1c in type 2 diabetic patients
林鹭平 1罗芳涛 1曾锦辉 1沈小燕 1张劼 1陈英红1
作者信息
- 1. 厦门市第二医院内分泌科，福建厦门361021
- 折叠
摘要
Abstract
Objective To understand the control status of hemoglobin A1c (HbA1c) and analyze the relationship with glycemic control and treatment schedule. Methods The study was adopted the method of cross-sectional survey to collect the da-ta of age,diabetes duration and therapeutic management with hypoglycemic agent by questionnaire. The specimens were taken for determination and analysis of HbA1c,blood glucose,blood lipid and so on. Totally 322 patients with type 2 diabetes mellitus (T2DM) were selected with the average age of (55.80±13.36) years and the mean disease course of (3.41±5.18) years. Results (1)The overall glycemic control status:the patients with HbA1c<7% accounted for 34.06%(110/323),the HbA1c of other 65.94%respondents(213/323) failed to reach the control standard.(2)Investigation of duration of diabetes and glycemic control status:the cases with the mean disease course<2 years were most in the total 323 patients (187/323),and the mean HbA1c value of the patients with the mean disease course<3 months reached maximum(9.48 mmol/L).(3)Investigation of self monitoring of blood glucose and blood glucose control:only 21.98%respondents(71/323) monitored their blood glucose at home in the past week with the HbA1c standard rate of 29.58%.(4)Investigation of therapeutic regimen and glycemic control:the compliance rate in pure oral medicine group was higher than that in the insulin group. The main reason for starting insulin therapy was due to ineffective-ness of oral medication [59.05%(137/167)],and the control status of HbA1c in patients,who requested injection of insulin,was best with the standard rate of 66.67%. The control status of HbA1c in human insulin group was better. (5)Investigation of con-comitant diseases and blood glucose control:57.89%respondents(187/323) were with concomitant diseases,but the control status of HbA1c in concomitant disease group was in good condition. Conclusion The T2DM patients without targeted HbA1c in the hospital are still in a large proportion(65.94%,213/323). The substandard ratio in insulin group is significantly higher than that in the pure oral medicine group.关键词
血红蛋白A,糖基化/糖尿病,2型/血糖/数据收集/达标率Key words
Hemoglobin A,glycosylated/Diabetes mellitus,type 2/Blood glucose/Data collection/Compliance rate引用本文复制引用
林鹭平,罗芳涛,曾锦辉,沈小燕,张劼,陈英红..2型糖尿病患者糖化血红蛋白监测结果分析[J].现代医药卫生,2014,(9):1283-1286,4.
