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中文摘要: 摘 要：目的：研究社区≥40岁高危2型糖尿病患者血脂控制情况及其影响因素。方法： 回顾性分析2023年就诊于深 圳市龙岗区第二人民医院上品雅园社区健康服务站、岗头社区健康服务中心、御珑豪园社区健康服务站及大发埔社区健康服 务站符合纳入与排除标准的2型糖尿病患者，收集其基本信息及相关临床资料，采用logistic 回归模型分析影响其血脂达标 的相关因素。结果：共纳入650例≥40岁2型糖尿病患者，2023年总体血脂达标率为25.85%。男性、空腹血糖控制达标、 服用降脂药为血脂达标的影响因素( OR 分别为0.621、0.610、1.960,P< 0.01)。结论：社区健康服务中心(站)应重点关 注老年女性及空腹血糖控制不佳的高危2型糖尿病患者，强化对空腹血糖与血脂的协同管理，加强对高危2型糖尿病患者的 血脂监测、评估与治疗。
Abstract:Abstract: OBJECTIVE To investigate blood lipid control status and its influencing factors among community-dwelling high-risk type 2 diabetes patients aged≥40 years.METHODS A retrospective analysis was conducted on type 2 diabetes patients who visited Shangpinyayuan Community Health Service Station,Gangtou Community Health Service Center,Yulonghaoyuan Community Health Service Station,and Dafapu Community Health Service Station of The Second People's Hospital of Longgang District in Shenzhen during 2023,and who met the inclusion and exclusion criteria.Basic demographic information and relevant clinical data were collected,and factors influencing blood lipid rates were statistically analyzed by logistic regression model.RESULTS A total of 650 type 2 diabetes patients aged≥40 years were included.The overall blood lipid rate in 2023 was 25.85%.Male sex,achieving fasting blood glucose control targets,and taking lipid-lowering medications were influencing factors for blood lipid(OR=0.621,0.610,1.960, P<0.01). CONCLUSION Community health service centers(stations)should focus particular attention on elderly female patients and high-risk type 2 diabetes patients with poor fasting blood glucose control.Strengthened coordinated management of fasting blood glucose and blood lipids is recommended,along with enhanced monitoring,assessment,and treatment of bloodlipids in high-risk type 2 diabetes patients.
keywords: Keywords:blood lipids rates high-risk type 2 diabetes community management influencing factors
文章编号：3202410008 中图分类号：R473.5 文献标志码：
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