本文關(guān)鍵詞：老年2型糖尿病患者血糖控制情況及影響因素　出處：《中國老年學(xué)雜志》2016年04期 　論文類型：期刊論文

  更多相關(guān)文章： 型糖尿病 糖化血紅蛋白

【摘要】：目的了解老年2型糖尿病患者糖化血紅蛋白(Hb A1c)達(dá)標(biāo)現(xiàn)狀及其影響因素。方法采用橫斷面調(diào)查方法,收集223例老年2型糖尿病患者臨床及實(shí)驗(yàn)室資料,評估Hb A1c7.0%的達(dá)標(biāo)率,分析其影響因素。結(jié)果平均年齡(69.9±6.8)歲,Hb A1c為(7.2±1.5)%,Hb A1c7.0%患者占59.2%�？崭寡�(FPG)7.2 mmol/L占59.2%,餐后2 h血糖(2 h PG)10.0 mmol/L占45.3%,其中FPG7.2 mmol/L或2 h PG10.0 mmol/L患者中Hb A1c7.0%的比例均超過80%。按年齡60~69歲、70~79歲、≥80歲分組,Hb A1c、FPG、2 h PG組間差異均無統(tǒng)計(jì)學(xué)意義(P0.05)。按治療方案分組,其中單藥治療患者占23.3%,兩藥聯(lián)用占39.5%,三藥聯(lián)用占28.3%,加用胰島素治療患者占8.9%。各組間Hb A1c、FPG、2 h PG差異均有統(tǒng)計(jì)學(xué)意義(P0.05),隨著治療方案升級,Hb A1c7.0%的患者比例從84.6%降至30.0%。結(jié)論老年2型糖尿病患者年齡對血糖達(dá)標(biāo)率影響不大。病程早期選擇合適的治療方案可以達(dá)到血糖的良好控制。當(dāng)采用多種藥物或胰島素治療,Hb A1c仍不達(dá)標(biāo)時(shí)需要注意可能存在惡化的餐后血糖。
[Abstract]:Objective to understand the status quo of HbA1c in elderly patients with type 2 diabetes mellitus and its influencing factors. The clinical and laboratory data of 223 elderly patients with type 2 diabetes mellitus were collected to assess the reaching rate of HB A1c7.0% and to analyze the influencing factors. Results the average age was 69.9 鹵6.8 years. HbA1c accounted for 59.2% of patients with HbA1c7.0%, and fasting blood glucose (FBG) 7.2FG mmol/L accounted for 59.2%. 2 h postprandial blood glucose and 2 h PG)10.0 mmol/L accounted for 45.3%. The percentage of HbA1c7.0% in patients with FPG7.2 mmol/L or 2 h PG10.0 mmol/L was more than 80%. There was no significant difference in HbA1cFGN 2 h PG group between 70 and 79 years old, 鈮，

本文編號(hào)：1384723