[1]倪 明,任秀利.滨海新区糖尿病并发症的发病情况及其影响因素分析[J].医学信息,2019,(19):76-79.[doi:10.3969/j.issn.1006-1959.2019.19.022]
 NI Ming,REN Xiu-li.Analysis of the Incidence of Diabetes Complications and Its Influencing Factors in Binhai New Area[J].Medical Information,2019,(19):76-79.[doi:10.3969/j.issn.1006-1959.2019.19.022]
点击复制

滨海新区糖尿病并发症的发病情况及其影响因素分析()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期数:
2019年19期
页码:
76-79
栏目:
论著
出版日期:
2019-10-01

文章信息/Info

Title:
Analysis of the Incidence of Diabetes Complications and Its Influencing Factors in Binhai New Area
文章编号:
1006-1959(2019)19-0076-04
作者:
倪 明任秀利
(天津市滨海新区疾病预防控制中心慢控科,天津 300450)
Author(s):
NI MingREN Xiu-li
(Department of Chronic Disesase Control,Tianjin Binhai New Area Center for Disease Control and Prevention,Tianjin 300450,China)
关键词:
糖尿病并发症影响因素
Keywords:
DiabetesComplicationsInfluencing factors
分类号:
R587.2
DOI:
10.3969/j.issn.1006-1959.2019.19.022
文献标志码:
A
摘要:
目的 探讨滨海新区糖尿病并发症发病情况及影响因素,为各级预防提供依据。方法 选取2015年1月1日~2017年12月30日在海滨新区七家医院就诊的糖尿病患者24697例,根据是否存在并发症分为伴有并发症组(6216例)和不伴有并发症组(18481例),比较两组患者的性别、年龄、民族、职业、家庭住址等一般资料和临床资料,分析可能影响糖尿病并发症的危险因素。结果 ①两组患者性别、年龄、职业以及糖尿病诊断分型情况比较,差异有统计学意义(P<0.05);②多因素Logistics回归分析显示,年龄(OR=1.011,95%CI=1.000~1.020)、2型糖尿病(OR=2.650,95%CI=1.137~6.160)以及职业为国家机关、党群组织、企事业单位负责人(OR=1.769,95%CI=1.470~2.120)是糖尿病并发症的独立危险因素,而农、林、牧、渔、水利业生产人员(OR=0.647,95%CI=0.520~0.810)和生产、运输设备操作人员(OR=0.902,95%CI=0.833~0.968),以及男性(OR=0.943,95%CI=0.887~1.016)是糖尿病并发症的保护因素。结论 疾控中心应重点关注高龄、女性、2型糖尿病患者,以及职业为国家机关、党群组织、企事业单位负责人的人群,为其提供积极干预措施,降低糖尿病并发症的发生风险。
Abstract:
Objective To explore the incidence and influencing factors of diabetes complications in Binhai New Area, and provide evidence for prevention at all levels.Methods A total of 24,697 patients with diabetes mellitus from 7 hospitals in Haibin New District from January 1, 2015 to December 30, 2017 were enrolled. The patients were divided into complications group (6216 cases) and no complications according to the presence or absence of complications. The group (18481 cases) compared the general data and clinical data of gender, age, ethnicity, occupation, and home address of the two groups, and analyzed the risk factors that may affect the complications of diabetes. Results ①The differences in gender, age, occupation, and diabetes diagnosis between the two groups were statistically significant (P<0.05).②Multivariate logistic regression analysis showed that age (OR=1.011,95%CI=1.000~1.020), type 2 diabetes (OR=2.650,95%CI=1.137~6.160) and occupations were state organs, party organizations, enterprises and institutions. The person in charge of the unit (OR=1.769,95%CI=1.470~2.120) is an independent risk factor for diabetes complications, while the production staff of agriculture, forestry, animal husbandry, fishery and water conservancy (OR=0.647,95%CI=0.520~0.810)and production and transportation equipment operators (OR =0.902,95%CI=0.833~0.968), and men (OR=0.943,95%CI=0.887~1.016) are protective factors for diabetic complications. Conclusion The CDC should focus on the elderly, women, type 2 diabetes patients, and the population of the state organs, party organizations, enterprises and institutions, and provide them with positive intervention measures to reduce the risk of diabetes complications.

参考文献/References:

[1]石劢,朱燕波.400例2型糖尿病初诊患者生命质量的影响因素分析[J].中国慢性病预防与控制,2015,23(8):565-569. [2]顾天菊.TG/HDL-C与新诊断2型糖尿病患者胰岛素抵抗的相关性分析[D].吉林大学,2017. [3]吴彬,曹建平,邹煌秀,等.广义估计方程在糖尿病并发症影响因素分析中的应用[J].中国卫生统计,2016,33(3):385-388. [4]邓晓利.老年2型糖尿病住院患者焦虑抑郁状态相关分析[D].南华大学,2017. [5]Association AD.Standards of medical care in diabetes-2010[J].Diabetes Care,2010,33(Suppl 1):S11-S61. [6]刘敏.糖尿病并发症的发病影响因素及综合护理干预措施[J].中国社区医师,2016,32(19):137-138. [7]何敏,武耀红.太原市社区糖尿病患者对眼部并发症相关知识掌握情况及影响因素的调查[J].医学综述,2015,21(3):522-525. [8]中华医学会糖尿病学分会.中国2型糖尿病防治指南(2017年版)[J].中国实用内科杂志,2018,38(4):292-344. [9]盛明英.探析诱发糖尿病并发症的影响因素[J].当代医药论丛,2015(12):213-214. [10]支亚灵.2型糖尿病患者生活质量与影响因素研究[J].糖尿病新世界,2017,20(20):29-30. [11]李英华,李莉,聂雪琼,等.中国6省糖尿病患者糖尿病慢性并发症自报率及影响因素研究[J].中国健康教育,2014,30(1):3-6. [12]赵进喜,王世东,黄为钧.中医药防治糖尿病及其并发症研究述评[J].世界中医药,2017,12(1):10-15. [13]仲跻园,万沁.中国西南地区社区人群血清尿酸水平与糖尿病发病的相关性及其性别差异性分析[J].山东医药,2018,58(30):1-4. [14]符陈超.2型糖尿病患者抑郁状况及影响因素的调查研究[D].遵义医学院,2018. [15]李勇.糖尿病控制与糖尿病合并心血管病并发症的关系分析[J].糖尿病新世界,2015(15):54-56. [16]徐幽琼,郑能雄,王春兰,等.社区糖尿病慢性并发症检出率及其影响因素[J].中国慢性病预防与控制,2014,22(1):1-4. [17]郑玉荣,魏保建,薛雅卓.老年2型糖尿病患者生活质量影响因素[J].中国老年学杂志,2016,36(8):1979-1980. [18]刘双喜,张卫华.2型糖尿病并发症患者生活质量调查及影响因素分析[J].山西医药杂志,2017,46(22):2731-2733. [19]莫献菊.分析糖尿病患者控制血糖与糖尿病合并心血管病并发症之间的关系[J].糖尿病新世界,2019,22(6):32-33.

相似文献/References:

[1]李伟,杨成,赵卫东,等.微创经皮钢板内固定治疗胫骨骨折临床效果观察[J].医学信息,2018,(01):16.[doi:10.3969/j.issn.1006-1959.2018.01.006]
 LI Wei,YANG Cheng,ZHAO Wei-dong,et al.Clinical Effect of Percutaneous Minimally Invasive Internal Plat Fixation in the Treatmentof Tibial Fractures[J].Medical Information,2018,(19):16.[doi:10.3969/j.issn.1006-1959.2018.01.006]
[2]张西园.糖尿病与结直肠癌患者预后相关研究进展[J].医学信息,2018,(01):55.[doi:10.3969/j.issn.1006-1959.2018.01.020]
 ZHANG Xi-yuan.Research Progress in the Relationship between Diabetes and the Prognosis of Colorectal Cancer[J].Medical Information,2018,(19):55.[doi:10.3969/j.issn.1006-1959.2018.01.020]
[3]陈杰.腹腔镜手术治疗急性腹膜炎的临床效果分析[J].医学信息,2018,(01):100.[doi:10.3969/j.issn.1006-1959.2018.01.036]
 CHEN Jie.Clinical Analysis of Laparoscopic Surgery for Acute Peritonitis[J].Medical Information,2018,(19):100.[doi:10.3969/j.issn.1006-1959.2018.01.036]
[4]耿金萍.综合护理对甲状腺良性肿瘤并糖尿病患者手术效果的影响分析[J].医学信息,2018,(01):163.[doi:10.3969/j.issn.1006-1959.2018.01.064]
 GENG Jin-ping.Analysis of the Effect of Comprehensive Nursing on the Surgical Effect of Thyroid Benign Tumor and Diabetic Patients[J].Medical Information,2018,(19):163.[doi:10.3969/j.issn.1006-1959.2018.01.064]
[5]杨立翠.优质护理应用于脑出血手术患者的效果观察[J].医学信息,2018,(01):165.[doi:10.3969/j.issn.1006-1959.2018.01.065]
 YANG Li-cui.Observation of the Effect of High Quality Nursing on Patients with Cerebral Hemorrhage[J].Medical Information,2018,(19):165.[doi:10.3969/j.issn.1006-1959.2018.01.065]
[6]杨进斌,韩建阁.右美托咪定复合丙泊酚和芬太尼在无痛人流术中的应用观察[J].医学信息,2018,(03):134.[doi:10.3969/j.issn.1006-1959.2018.03.047]
 YANG Jin-bin,HAN Jian-ge.Application of Dexmetomidine Combined with Propofol and Fentanyl in Painless Induced Abortion[J].Medical Information,2018,(19):134.[doi:10.3969/j.issn.1006-1959.2018.03.047]
[7]李雯婷,谈世华,余江明,等.踝肱指数检测在住院糖尿病患者中的重复性研究[J].医学信息,2018,(03):159.[doi:10.3969/j.issn.1006-1959.2018.03.058]
 LI Wen-ting,TAN Shi-hua,YU Jiang-ming,et al.Study on Reproducibility of Ankle-brachial Index in Inpatients with Diabetes Mellitus[J].Medical Information,2018,(19):159.[doi:10.3969/j.issn.1006-1959.2018.03.058]
[8]张 萍.延续性护理在冠心病PCI术后并发症的预防效果分析[J].医学信息,2018,(03):181.[doi:10.3969/j.issn.1006-1959.2018.03.068]
 ZHANG Ping.Analysis of the Preventive Effect of Continuous Nursing on Complications after PCI Operation in Coronary Heart Disease[J].Medical Information,2018,(19):181.[doi:10.3969/j.issn.1006-1959.2018.03.068]
[9]鞠万霞.深静脉置管的临床应用及其护理研究[J].医学信息,2018,(04):50.[doi:10.3969/j.issn.1006-1959.2018.04.016]
 JU Wan-xia.Clinical Application of Deep Vein Catheterization and its Nursing Research[J].Medical Information,2018,(19):50.[doi:10.3969/j.issn.1006-1959.2018.04.016]
[10]苏成鹏.康复综合治疗仪脉冲电刺激穴位治疗产后尿潴留的疗效分析[J].医学信息,2018,(04):113.[doi:10.3969/j.issn.1006-1959.2018.04.039]
 SU Cheng-peng.Effect of Pulse Electrical Stimulation on Postpartum Urinary Retention[J].Medical Information,2018,(19):113.[doi:10.3969/j.issn.1006-1959.2018.04.039]
[11]张宇宁.黄酮类化合物治疗糖尿病及其并发症的研究[J].医学信息,2018,(05):50.[doi:10.3969/j.issn.1006-1959.2018.05.018]
 ZHANG Yu-ning.Study on Flavonoids in the Treatment of Diabetes Mellitus and its Complications[J].Medical Information,2018,(19):50.[doi:10.3969/j.issn.1006-1959.2018.05.018]
[12]陈军锋.增生型糖尿病性视网膜病变前后段联合手术的疗效观察[J].医学信息,2018,(10):99.[doi:10.3969/j.issn.1006-1959.2018.10.030]
 CHEN Jun-feng.Effect of Combined Anterior and Posterior Segment Surgery on Proliferative Diabetic Retinopathy[J].Medical Information,2018,(19):99.[doi:10.3969/j.issn.1006-1959.2018.10.030]

更新日期/Last Update: 2019-10-01