200例糖尿病患者糖化血红蛋白控制效果及的影响因素调查的研究.docVIP

200例糖尿病患者糖化血红蛋白控制效果及的影响因素调查的研究 　　【摘要】 目的：?{查研究糖尿病患者糖化血红蛋白控制效果及影响因素。方法：选取2016年 　　8月-2017年7月本院诊治的200例糖尿病患者（非妊娠、贫血）为研究对象，将其糖化血红蛋白控制效果进行评估，并比较不同性别、年龄、病程、文化程度、经济情况、饮食控制情况、吸烟饮酒情况、BMI值及血脂水平者的控制效果，并以多因素Logistic回归分析处理上述因素与糖化血红蛋白控制效果的关系。结果：200例糖尿病患者中糖化血红蛋白达标者82例，达标率为41.00%，其中女性、年龄较低、病程较短、文化程度较高、经济状况较好、饮食控制良好、BMI值较低、TG及TC较低者的达标率均高于男性、年龄较高、病程较长、文化程度较低、经济状况较好、饮食控制不佳、BMI值较高、TG及TC较高者（P0.05），多因素Logistic回归分析显示，性别、年龄、病程、文化程度、经济情况、饮食控制情况、BMI值、TC及TG值均是糖化血红蛋白控制效果的影响因素（P0.05）。结论：糖尿病患者糖化血红蛋白控制效果仍需进一步提升，而性别、年龄、文化程度、经济情况、饮食控制情况、BMI值、TC及TG水平均是其影响因素，应针对这些因素进行调节与干预。 　　【关键词】 糖尿病； 糖化血红蛋白； 控制效果； 影响因素 　　Investigation on the Glycosylated Hemoglobin Control Effect and Influence Factors of 200 Patients with Diabetes Mellitus/SONG Xiang-sui.//Medical Innovation of China，2017，14（30）：058-061 　　【Abstract】 Objective：To investigate the glycosylated hemoglobin control effect and influence factors of patients with diabetes mellitus.Method：200 patients with diabetes mellitus（without pregnancy and anemia） in our hospital from August 2016 to July 2017 were selected as the study objects，and the glycosylated hemoglobin control effect of all the patients were evaluated，the control effect of patients with different gender，ages，disease course，education degree，economic situation，dietary control situation，smoking and drinking situation，BMI value and blood lipid levels were compared and the relationship between those factors and glycosylated hemoglobin control effect were analyzed with multivariate logistic regression analysis.Result：82 cases of the glycosylated hemoglobin were standard-reaching in the 200 patients with diabetes mellitus and the standard-reaching rate was 41.00%，the standard-reaching rates of patients with female，lower ages，shorter disease course，higher education degree，better economic situation，better dietary control situation，lower BMI value，lower TG and TC levels were higher than those of patients with male，higher ages，longer disease course，lower education degree，worse economic situation，worse