门诊2型糖尿病患者口服降糖药降糖达标状况调查(1)
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【摘要】 目的 了解门诊仅接受口服降糖药物治疗的2型糖尿病(T2DM)患者降糖达标现状及糖尿病慢性并发症、合并症的发生情况。方法 收集我院门诊仅接受口服降糖药物治疗(3个月以上)的T2DM病例401例，通过问卷调查的方式收集患者血糖、HbA1c值、血压、血脂、自我管理信息、治疗方案、合并症及慢性并发症等情况，评估HbA1c≤6.5%的达标现状及糖尿病慢性并发症、合并症的发生情况。结果 血糖控制现状调查显示HbA1c≤6.5%的达标率为17.5%；HbA1c>6.5%组合并心脑血管疾病、慢性并发症的比率明显高于HbA1c≤6.5%组；36.9%患者血糖监测频率≥4次每月，13.7%患者HbA1c监测频率≥4次每年；患者控制饮食、规律运动的比例分别为74.6%、51.6%；大多数患者应用2种及以上降糖药物治疗。结论 门诊仅接受口服药物治疗的T2DM患者血糖控制达标率低，血糖控制不良与糖尿病合并症、慢性并发症相关。
【关键词】2型糖尿病;门诊;糖化血红蛋白;达标率;并发症
Lnvestigation of glycemic control in type 2 diabetic out patients who received oral antidiabetic agents
XIA Xiao ying, WU Wei qiong, WANG Yue e.
Department of Endocrinology, HuiZhou Municipal Central Hospital,Guangdong 516001,China
【Abstract】 Objective To investigate the current state of glycemic control and complications in type 2 diabetes mellitus(T2DM)who cecevied oral antidiabetic agents in the out patient clinic.Methods 401 T2DM outpatients who have receviedlong term(more than 3 months)oral antidiabetic agents were enrolled in our hospital.A questionnatirc interview was used to collect data of patients on blood glucose, glycosylated hemoglobin A1c(HbA1c), blood pressure, blood fat,self management,therapy,complications.The good control rate of HbA1c(≤6.5%)and incidence rate of complications were evaluated.Results The survey of glycemic control revealed that the good control rate of HbA1c(≤6.5%)was 17.5%.The incidence rate of complications was higher in group of HbA1c>6.5%. The rates of patients whomonitored the blood glucose(≥4 times per month)andHbA1c(≥4 times per year)were 36.9% and 13.7%，74.6% patients controlled diet.51.6% patients took regular exercises. The bulk of the patients were taken two or more oral antidiabetics.Conclusion The good control rate of glycemic control is low in T2DM who cecevied oral antidiabetic agents in the out patient clinic.Bad control of glycemic is associated with the complications.
【Key words】Type 2 diabeties mellitus; Out patients;Glycosylated hemoglobin; Good control rate;Complications
作者单位：516001惠州市中心人民医院内分泌科糖尿病的慢性并发症及合并症是糖尿病患者致死、致残的主要原因，而长期高血糖是慢性并发症及合并症发生、发展的主要因素。强化血糖控制可预防及延缓糖尿病慢性并发症及合并症的发生、发展 ......
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