·糖尿病治疗与管理·

　　孟朝琳 李明子 纪立农

　　基金项目：北京市科技计划资助项目(Z08000704000801)

　　作者单位：100083北京大学护理学院(孟朝琳、李明子)，北京大学人民医院内分泌科(纪立农)

　　通讯作者：纪立农，E-mail: jiln@bjmu.edu.cn

　　【摘要】目的调查北京市三甲医院T2DM控制现状。方法在北京市6家三甲医院中选择1151例T2DM患者作为研究对象，通过访谈、查阅病例和电子临床检验系统等方法收集信息，以2007年版《中国2型糖尿病防治指南》为标准评价患者糖尿病控制状况。结果患者年龄(60.8±9.2)岁，病程7.3年(中位数)，BMI(24.6±3.3)kg/m2， HbA1c(7.15±1.50)%，HbA1c达标率37.8%，血压达标率65.6%，TG达标率48.8%，HDL-C达标率59.2%，LDL-C达标率34.0%，TC达标率42.0%。结论北京市三甲医院T2DM控制现状有所改善，但与指南比较还有很大差距。

　　【关键词】糖尿病，2型;控制

　　doi:10.3969/j.issn.1006-6187.2012.04.008

　　The investigation and analysis of the control state of type 2 diabetes in BeijingMENG Zhao-lin, LI Ming-zi, JI Li-nong.Peking University School of Nursing,Beijing 100083, China

　　Corresponding author:JI Li-nong,E-mail:jiln@bjmu.edu.cn

　　【Abstract】ObjectiveTo investigate the state of T2DM control in tertiary first-class hospitals in Beijing. Methods1151 patients with T2DM were recruited as the study subjects in 6 tertiary first-class hospitals in Beijing. The message was collected to evaluate the state of T2DM control via interview, medical records and electronic laboratory enquiry system. The evaluation criteria were defined based on 2007 China Guideline for T2DM. ResultsThe age was (60.8±9.2) years old, the disease duration was 7.3 years, the BMI was (24.6±3.3)kg/m2, and the HbA1c level was (7.15±1.50)%. The target arrival rates of HbA1c, BP, TG, HDL-C, LDL-C, and TC were 37.8% ,65.6%, 48.8%, 59.2%, 34.0%, and 42.0%， respectively. ConclusionsThe metabolic control of T2DM in tertiary first-class hospital is better in Beijing than in the domestic and abroad, but there is a wide gap as compared with 2007 China Guideline for T2DM.

　　【Key words】Diabetes mellitus，type 2;Control