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彝族2型糖尿病患者生活方式及血糖控制现状的研究
王芳; 袁丽; 李饶; 熊真真
四川大学华西医院内分泌代谢科
摘要:
目的调查彝族2型糖尿病患者生活方式和血糖控制现状,分析其影响因素,为今后彝族糖尿病患者制定干预措施提供依据。方法通过便利抽样的方法抽取在凉山州某2所医院就诊的彝族2型糖尿病患者246例,采用自行设计的彝族2型糖尿病患者生活方式及血糖控制现状调查问卷,对符合纳入标准的患者进行调查。结果彝族2型糖尿病患者饮酒率32.9%,吸烟率24.8%,吸烟和饮酒以男性为主。体育锻炼率40.7%,锻炼形式以散步为主;饮食喜好以喜清淡(46.7%)、喜油腻(35.0%)和喜辛辣(34.6%)为主;体质指数正常者(BMI)37.4%,血糖控制达标(糖化血红蛋白<7%)者23.2%。多因素分析显示,糖化血红蛋白受健康教育和BMI的影响。结论彝族2型糖尿病患者生活方式不良,血糖控制情况不佳,医务人员应对彝族患者加强健康教育,帮助其建立合理的饮食生活习惯,控制好BMI,进而改善患者的血糖控制。
关键词:  彝族  2型糖尿病  生活方式  血糖  影响因素
DOI:
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基金项目:四川省科技厅支撑计划(编号:2014FZ0044)
Lifestyle and Blood Sugar Control of Yi Nationality Patients with Type 2 Diabetes
Wang Fang;Yuan Li;Li Rao;
Department of Endocrinology,West China Hospital of Sichuan University
Abstract:
Objective To investigate the lifestyle and blood sugar control status of Yi nationality patients with type 2 diabetes,and to analyze the influencing factors,so as to provide evidence for intervention measures in the future.Methods We selected 246 cases of Yi nationality patients with type 2 diabetes by using the convenience sampling method in 2 hospitals of Liangshan,using a self-designed questionnaire for lifestyle and blood sugar control status of Yi nationality patients with type2 diabetes,and investigated the patients who met the inclusion criteria.Results Among the Yi nationality patients with type2 diabetes,the drinking rate was 32. 9%,the smoking rate was 24. 8%,and the majority of smoking and drinking were male.The exercise rate was 40. 7%,and walking was the main form of exercise; the diet preferences were light( 46. 7%),greasy( 35%) and spicy( 34. 6%); normal body mass index( BMI) rate was 37. 4%,glycemic control up to standard rate( glycosylated hemoglobin<7%) was 23. 2%.Multivariate analysis showed that glycosylated hemoglobin was influenced by health education and BMI. Conclusion The Yi nationality patients with type 2 diabetes had bad lifestyle and poor glycemic control,so medical personnel should strengthen the health education of Yi nationality patients,help them establish reasonable dietary habits,good control of BMI,and improve the patient’ s blood glucose control.
Key words:  Yinationality  type2diabetes  lifestyle  bloodsugar  influencingfactor
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