社区糖尿病管理病例药物治疗管理与疾病控制及相关病症的关系

摘要

Objective:To know about the status quo of drug therapy of community management of diabetes pa-tients,and probe into its influence on disease control and progress.Methods:A total of 387 diabetes patients par-ticipating in community management were investigated on drug therapy,management behaviors,fasting plasma glucose,blood pressure,blood lipid and related disorders by using cross sectional survey model.Results:There were 363 cases of patients who received the drug hypoglycemic therapy(93.8%),63 cases(1 6.3%)with compli-ance of fasting plasma glucose,blood pressure and lipid,315 cases(81.4%)of patients said they had diabetes re-lated disorders.Logistic regression analysis showed that there was statistically significant difference in the influ-ence of age,whether the combined use of oral hypoglycemic agents or not and whether increasing or reducing the drug by themselves on control of fasting plasma glucose,blood pressure and lipid;there was statistically sig-nificant difference in the influence of course,whether prescribed medication or not according to the ad or wheth-er to recommend others to buy medicine or not on diabetes related disorders.Conclusion:The rate of drug thera-py for community diabetes patients was higher,the age,course,oral hypoglycemic agents programme and medi-cation compliance had influence on disease control and occurrence of related disorders.%[目的]了解社区糖尿病管理病人药物治疗现况,探讨其对疾病控制及进展的影响。[方法]采用横断面调查方式,对参与社区管理的387例糖尿病病人进行药物治疗及管理行为、空腹血糖、血压、血脂和相关病症调查。[结果]接受药物降糖治疗者363例(93.8%),空腹血糖、血压、血脂指标均达标仅63例(16.3%),315例(81.4%)病人自述罹患糖尿病相关病症。Logistic 回归分析显示,年龄、口服降糖药是否联合使用和是否自行增减药物对空腹血糖、血压和血脂控制的影响差异有统计学意义；病程、是否遵医嘱服药、是否根据广告或别人推荐买药对糖尿病相关病症的影响差异有统计学意义。[结论]社区糖尿病病人药物治疗率较高,年龄、病程、口服降糖药方案及药物依从行为对疾病控制及相关病症发生有影响。