城乡接合社区2型糖尿病患者生活方式及血糖控制情况调查

doi:10.3969/j.issn.1006-7795.2018.01.019

摘要/Abstract

摘要： 目的了解城乡接合社区2型糖尿病患者的生活方式现况及血糖控制情况。方法数字表法随机抽取50~65岁在社区卫生服务站登记管理的生活方式干预和/或口服降糖药治疗的2型糖尿病患者96例，开展膳食及体力活动问卷调查和体格检查，采集空腹静脉血检测空腹血浆葡萄糖（fasting plasma glucose，FPG）、糖化血清蛋白（glycosylated serum protein，GSP）、糖化血红蛋白（glycosylated hemoglobin A1c，HbA1c）、空腹胰岛素（fasting insulin，FINS）、空腹C肽（fasting plasma c-peptide，FC-P）、三酰甘油（triglyceride，TG）、总胆固醇（total cholesterol，TC）、低密度脂蛋白胆固醇（low density lipoprotein-cholesterol，LDL-C）、高密度脂蛋白胆固醇（high density lipoprotein-cholesterol，HDL-C）浓度，采集餐后2 h静脉血检测餐后2 h血糖（2 hour-postprandial blood glucose，2 h-PG）和胰岛素（2 hour-postprandial insulin，2 h-INS）浓度。结果 1调查对象的平均病程为（77.88±63.26）个月；男性吸烟和饮酒的比例分别为63.9%和52.8%。调查对象的体力活动多为高强度体力活动，平均能量摄入为（2 193.98±987.77）kcal（1 cal=4.184 J），平均体质量指数为（28.05±4.23）kg/m²，平均腰围为（91.98±10.88）cm。平均每人每日谷薯类、水果类、水产品类、奶类、大豆及坚果类摄入量低于推荐量，其中水产品摄入量极低为3.45（0.83，14.29）g；蛋类、油脂类、盐摄入量高于推荐量。2调查对象的FPG、2 h-PG、HbA1c、TC的总体达标率分别为42.7%、37.5%、44.8%、41.7%。结论城乡接合社区2型糖尿病患者的血糖控制情况欠佳，应予以积极地生活方式干预治疗。

关键词: 2型糖尿病, 生活方式, 城乡接合社区, 现况调查

Abstract: Objective To investigate the lifestyle and blood glucose level of patients with type 2 diabetes in rural-urban communities.Methods A total of 96 patients with type 2 diabetes mellitus aged 50 to 65 treated with lifestyle intervention and/or oral hypoglycemic agents registered in the community health service station were randomly selected by the method of random number table. Their dietary and physical activity habits were investigated with a questionnaire and the physical examination was carried out. Fasting blood plasma glucose (FPG), glycosylated serum protein (GSP), glycosylated hemoglobin A1c (HbA1c), fasting insulin (FINS), fasting plasma C-peptide (FC-P), triglyceride (TG), total cholesterol(TC), low density lipoprotein-cholesterol (LDL-C), high density lipoprotein-cholesterol (HDL-C), and 2 h postprandial serum glucose (2 h-PG) and insulin (2 h-INS) levels were measured by commercial kits.Results 1The mean course of disease of subjects was (77.88±63.26) months. The ratios of smoking and alcohol drinking were 63.9% and 52.8% respectively in male subjects. The physical activity of subjects was mostly high intensity physical activity, with mean energy intake of (2 193.98±987.77)kcal (1 cal=4.184 J) per day. The mean body mass index (BMI), and waist circumference (WC) were (28.05±4.23)(kg/m²) and (91.98±10.88)cm respectively. The average daily intake of grains and tubers, fruits, aquatic products, milk, soybeans and nuts were lower than the recommended amount. The intake of aquatic products was 3.45 (0.83,14.29) g per day; while the intakes of eggs, greases and salts were higher than the recommended amount. 2The overall compliance rates of FPG, 2 h-PG, HbA1c and TC levels of subjects in this study were 42.7%, 37.5%, 44.8% and 41.7%, respectively.Conclusion The blood glucose levels of patients with type 2 diabetes in rural-urban communities are not well controlled, and an active lifestyle intervention should be given for them.

Key words: type 2 diabetes, lifestyle, rural-urban communities, survey

中图分类号:

R153

路童, 蔡夏夏, 王焕英, 李景杰, 刘兰, 余焕玲. 城乡接合社区2型糖尿病患者生活方式及血糖控制情况调查[J]. 首都医科大学学报, 2018, 39(1): 103-111.

Lu Tong, Cai Xiaxia, Wang Huanying, Li Jingjie, Liu Lan, Yu Huanling. Lifestyle and blood glucose level state of type 2 diabetes dwelled in rural-urban communities[J]. Journal of Capital Medical University, 2018, 39(1): 103-111.

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