Ma A J, Dong J, Wei Y Q, Fang K, Xie C, Jiang B, Dong Z
Beijing Center for Disease Prevention and Control/Beijing Research Center for Preventive Medicine, Beijing 100013, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2020 Nov 6;54(11):1283-1288. doi: 10.3760/cma.j.cn112150-20200616-00887.
To investigate the comprehensive control situation and related factors of diabetes mellitus. From August to December of 2017, 13 259 residents aged 18 to 79 years old were randomly selected as the subjects by stratified multi-stage cluster sampling method. Questionnaire, physical examination and laboratory tests were conducted. The effective sample size was 13 240. A total of 1 592 diabetes patients were found. In this study, 917 diabetes patients who had been diagnosed before the investigation were selected as subjects. The comprehensive control of diabetes patients was analyzed. The situation of diabetes patients with hypertension, dyslipidemia, overweight and obesity, coronary heart diseases was analyzed. Logistic regression analysis of complex sampling was used to analyze the related factors of diabetes comprehensive control. The average age of 917 patients with diabetes was (58.5±0.7) years old. The proportion of people who participated in diabetes follow-up management was 29.0%. There were 89.5% diabetes patients with one or more chronic diseases. The comprehensive control rate of diabetes mellitus was 2.0%, men and women were 1.8% and 2.3%, respectively (>0.05). The rate of comprehensive control among those diabetes patients with chronic diseases was 0.4%, lower than that of those without chronic diseases (15.6%, 0.05). The comprehensive control rate of people who participated in diabetes follow-up management was 1.4%. The control rate of blood glucose, blood pressure, blood lipid and weight of diabetes mellitus was 30.9%, 30.2%, 17.4% and 27.7%, respectively. Logistic regression analysis of complex sampling showed that excessive intake of red meat, with chronic diseases and qualified core knowledge were all related with comprehensive control of diabetes mellitus, value was 31.41, 39.98 and 0.29, <0.05. The comprehensive control rate of diabetes mellitus was low. Excessive intake of red meat, with chronic diseases and qualified core knowledge were all related with comprehensive control of diabetes mellitus.
为调查糖尿病的综合控制情况及相关因素。2017年8月至12月，采用分层多阶段整群抽样方法随机选取13259名18至79岁居民作为研究对象，进行问卷调查、体格检查及实验室检测，有效样本量为13240例，共发现1592例糖尿病患者。本研究选取调查前已确诊的917例糖尿病患者作为研究对象，分析糖尿病患者的综合控制情况，分析糖尿病患者合并高血压、血脂异常、超重与肥胖、冠心病的情况，采用复杂抽样的Logistic回归分析糖尿病综合控制的相关因素。917例糖尿病患者平均年龄为（58.5±0.7）岁，参与糖尿病随访管理的比例为29.0%，89.5%的糖尿病患者合并一种或以上慢性病。糖尿病综合控制率为2.0%，男性和女性分别为1.8%和2.3%（>0.05）。合并慢性病的糖尿病患者综合控制率为0.4%，低于无慢性病患者（15.6%，<0.05）。参与糖尿病随访管理的人群综合控制率为1.4%。糖尿病患者血糖、血压、血脂及体重的控制率分别为30.9%、30.2%、17.4%和27.7%。复杂抽样的Logistic回归分析显示，红肉摄入过多、合并慢性病及核心知识知晓合格均与糖尿病综合控制有关，P值分别为31.41、39.98和0.29，均<0.05。糖尿病综合控制率较低，红肉摄入过多、合并慢性病及核心知识知晓合格均与糖尿病综合控制有关。
