铁路糖尿病患病职工血糖控制现状分析

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英文篇名：Analysis of Blood Glucose Control Status of Railway Workers with Diabetes Mellitus 作者：黄志辉 ; 李凡 ; 白宁静 英文作者：HUANG Zhihui;LI Fan;BAI Ningjing;Baoji Branch, Xi'an Railway Disease Prevention and Control Institute; 关键词：糖尿病 ; 铁路职工 ; 糖化血红蛋白 ; 危险因素 英文关键词：Diabetes;;Railway workers;;Glycosylated hemoglobin;;Risk factor 中文刊名：TDLD 英文刊名：Railway Energy Saving & Environmental Protection & Occupational Safety and Health 机构：西安铁路疾病预防控制所宝鸡分所; 出版日期：2019-04-28 出版单位：铁路节能环保与安全卫生 年：2019 期：v.9;No.50 基金：中国铁路西安局集团有限公司研究开发计划课题(2018YZ207) 语种：中文; 页：TDLD201902010 页数：4 CN：02 ISSN：11-5988/X 分类号：46-49

摘要

了解某地区铁路糖尿病患病职工血糖控制情况,为改进健康干预措施提供依据。选取新诊断糖尿病职工272人及已确诊糖尿病职工175人,分析其健康体检结果及影响因素。结果表明,目前该地区糖尿病患病职工HbA1c <7%占46.98%,原已确诊糖尿病职工糖化血红蛋白控制率29.14%,入院治疗原因中健康体检检出血糖增高和出现糖尿病症状占75.43%,药物治疗率65.71%,运动和饮食控制率均为21.71%;新诊断与原已确诊糖尿病职工在血脂异常、肥胖、腹型肥胖差异有统计学意义。该地区糖尿病患病职工规范治疗后血脂异常、肥胖等有所降低,但糖尿病患病职工新诊断病例高、血糖控制率低,原已确诊糖尿病患病职工自我健康管理能力不足;提出应充分发挥健康体检筛查作用、早诊断早防治早干预、劝导规范就医、加强精准健康干预等建议。
        To understand the blood sugar control of railway diabetic workers in a certain area, and to provide basis for improving health intervention measures.272 newly diagnosed diabetic workers and 175 newly diagnosed diabetic workers were selected to analyze their health examination results and influencing factors. The results showed that HbA1 c<7 %of diabetic workers in this area accounted for 46.98%, while the control rate of glycosylated hemoglobin of previously diagnosed diabetic workers was 29.14%. Among the reasons for hospitalization, 75.43% were higher blood sugar and diabetes symptoms detected by physical examination, the drug treatment rate was 65.71%, and the exercise and diet control rates both were 21.71%.The difference between newly diagnosed diabetes and previously diagnosed diabetes is statistically significant in terms of dyslipidemia, obesity and abdominal obesity. After the standardized treatment of diabetic workers in this area,dyslipidemia and obesity have decreased. However, the newly diagnosed cases of diabetic workers are high, the blood sugar control rate is low, and the self-health management ability of the previously diagnosed diabetic workers is insufficient.Suggestions such as giving full play to the screening function of physical examination, early diagnosis, early prevention and intervention, persuading standardized medical treatment, and strengthening accurate health intervention are put forward.

引文

[1]母义明,纪立农,杨文英,等.中国2型糖尿病患者餐后高血糖管理专家共识[J].中国糖尿病杂志,2016,24(5):385-392.
    [2]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.
    [3]范玲,钟慧琴,常向云,等.社区2型糖尿病患者糖化血红蛋白达标率及影响因素分析[J].重庆医学,2015,44(21):2967-2970.
    [4]李素芬,田秀标,韩颖,等.天津大港油田地区成人2型糖尿病患者血糖达标现状分析[J].中国慢性病预防与控制,2015,23(11):823-827.
    [5]宁光.糖尿病防控模式亟待创新[N].健康报,2017-07-10(008).
    [6]杨文英.中国糖尿病的流行特点及变化趋势[J].中国科学:生命科学,2018,48(8):812-819.