铁路糖尿病患病职工血糖控制现状分析

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。

Analysis of Blood Glucose Control Status of Railway Workers with Diabetes Mellitus

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 HbA1c<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.