北京崔各庄社区糖尿病患者糖化血红蛋白水平及其相关因素研究.docVIP

· 1081 · · 论 著 · 北京崔各庄社区糖尿病患者糖化血红蛋白水平及其 相关因素研究 吕玉洁，张楠，孙飞，万钢，要立娜，马卫华，马淑贤，谷金慧，赵晔，金凤实， 卜祥雷，鲁宗学，袁申元 【摘要】 目的 了解北京城乡结合部社区2型糖尿病患者糖化血红蛋白 (HbA,s) 控制现状，分析其可能的影 响因素，为糖尿病患者社区管理个体化方案提供依据。方法 选择社区内2型糖尿病患者，测量身高、体质量、血压， 检测血糖、血脂、 HbA。。 以 HbA,。控制水平7.0%或≥7.0%,分为两组，即A 组 ( 7 . 0 % ) 和 B 组(≥7 . 0%)。 采用SPSS 11.5 软件进行统计分析。 结果 A 组中HbA,。与 BMI、血糖、总胆固醇、低密度脂蛋白胆固醇有相关性 (P 0.05),B 组中HbA。 与血糖、总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋胆固醇白间有相关性 (P0.05)。 结论 HbA,。与空腹及餐后2h 血糖、血脂之间具有关联性，定期检测HbA1。对2型糖尿病的长期稳定控制有重要意义。 【关键词】 糖尿病，2型；糖化血红蛋白；血糖；血脂；社区 【中图分类号】 R587.1 【文献标识码】 A 【文章编号】1007-9572(2010)04-1081-03 Analysis of HbA,e Level and Its Related Factors for Diabetic Patients in Beijing Cuigezhuang Community LV Yu -jie, ZHANG Nan,SUN Fei,et al. Cuigezhuang Community Health Service Centers in Chaoyang District of Beijing,Beijing 100103, China 【Abstract] Objective To leam the control status of glycosylated hemoglobin (HbA,e) of type 2 diabetes patients in communities of rural- urban fringe zone of Beijing,and analyze the related factors, so as to provide an individualized scheme for diabetes management in community. Methods Type 2 diabetic patients from Cuigezhuang community were enrolled to measure the height, body weight, blood pressure, blood glucose, blood lipids, and HbA;e. The patients were divided according to level of HbA; 。as group A(HbA, 。7.0%)and group B(HbA1e≥7.0%). The data were statistically analyzed with software package SPSS 11.5. Results In group A the HbA, 。 level was correlated with the levels of body mass index(BMI), fasting blood glucose (FBG),fasting glucose, postprandial glucose, total cholesterol(TC),and lower density lipoprotein - cholesterol(LDL-C) (P0.05). And in group B the HbA, 。 level was correlated with the levels of blood glucose, TC, high density lipoprotein - cho- lesterol(HDL-C),AND LDL-C(P0.05). Conclusion HbA, 。 has significant correlation with blood - glucose and blood lipids, Regularly assay of HbA, 。 is of important significance for