| 摘要: |
| ［摘要］ 目的 了解社区2型糖尿病（T2DM）人群发病危险因素的聚集与糖化血红蛋白(HbA1c)变化的关联性。方法 在城市社区就诊患者中选取159例T2DM患者，进行糖尿病人群危险因素调查、体格指标测量和生化指标检测。结果 （1）在159例T2DM患者中，诊断具有糖尿病危险因素者103人(占64.8%)，其HbA1c水平明显高于不伴有糖尿病危险因素者（P<0.01）;（2）Logistic回归分析结果显示，有2个危险因素组、3个危险因素组、4个危险因素组和5个危险因素组的HbA1c的OR值平均分别为1.942(1.063～3.514)、3.041(2.182～7.481)、3.900(2.091～9.562)和5.910(3.991～10.562)。结论 糖尿病危险因素不仅影响HbA1c水平的变化，而且随着危险因素组分的聚集增高，HbA1c呈阶梯式升高的趋势。 |
| 关键词: 糖化血红蛋白 社区糖尿病患者 危险因素 |
| DOI：10.3969/j.issn.1674-3806.2011.04.13 |
| 分类号:R 587.1 |
| 基金项目: |
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| The relationship between accumulation of risk factor components and levels of glycated haemoglobin in diabetic patients in community |
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LI Yong-kun, HUANG Li-yuan,WANG Cui
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Community Health Service Center of Kunming Yanan Hospital，Yunnan 650051, China
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| Abstract: |
| ［Abstract］ Objective To investigate the relationship between different accumulations of risk factor components and levels of glycated haemoglobin(HbA1c) in type2 diabetic patients.Methods One hundred and fifty-nine diabetic patients from community received epidemiology inquiry, anthropometric profile and blood biochemical tests.Results （1）In this population, diabetic patients with risk factor were 103(64.8%), and the level of glycated haemoglobin in those with risk factor was higher than in those without risk factor (P<0.01);（2）Binary logistic regression analysis revealed that compared with the group without any risk factor component or with only one component, the OR values of the group with 2 risk factor components, with 3 risk factor components,with 4 risk factor components and with all 5 risk factor components on HbA1c were 1.942(1.063 ～ 3.514), 3.041(2.182 ～ 7.481)、3.900(2.091～ 9.562) and 5.910(3.991～ 10.562) respectively.Conclusion The study suggested that the accumulations of risk factor components increase the levels of glycated haemoglobin in diabetic patients. |
| Key words: Glycated haemoglobin Diabetic patients in community Risk factor for diabetes |
