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肝硬化合并2型糖尿病患者血糖控制现状与影响因素分析OA

Analysis of Blood Glucose Control Status and Influencing Factors in Patients with Liver Cirrhosis Complicated with Type 2 Diabetes Mellitus

中文摘要英文摘要

目的 了解肝硬化合并 2 型糖尿病患者血糖控制现状与影响因素.方法 选择 2020 年 1 月-2024 年 4 月绵阳市某三甲医院消化内科住院的 222 例肝硬化合并 2 型糖尿病患者作为研究对象.将HbA1c<7.0%的患者纳入血糖控制良好组,HbA1c≥7.0%则纳入血糖控制不佳组.采用单因素分析、二元 Logistic 分析统计肝硬化合并 2 型糖尿病患者血糖控制的影响因素.结 果 研究发现肝硬化合并 2 型糖尿病患者血糖控制不佳占 48.20%;血糖控制良好及血糖控制不佳患者年龄、血糖控制方法、饮酒史、合并冠心病情况比较,差异有统计学意义(P<0.05);血糖控制方法是肝硬化合并 2 型糖尿病患者血糖控制情况的独立影响因素.结论 我院肝硬化合并 2 型糖尿病患者血糖控制现状并不乐观,应重视血糖控制方法对患者血糖的影响,积极采取措施加强患者血糖管理.

Objective To investigate the current status and influencing factors of blood glucose control in liver cirrhosis patients complicated with type 2 diabetes mellitus.Methods A total of 222 liver cirrhosis patients complicated with type 2 diabetes mellitus admitted to the Department of Gastroenterology at a tertiary hospital in Mianyang City from January 2020 to April 2024 were selected as the research objects.Patients with HbA1c<7.0%were included in the good blood glucose control group,and patients with HbA1c≥7.0%were included in the poor blood glucose control group.Univariate analysis and binary Logistic analysis were used to analyze the influencing factors of blood glucose control in liver cirrhosis patients with type 2 diabetes mellitus.Results Poor blood glucose control accounted for 48.20%in liver cirrhosis patients complicated with type 2 diabetes mellitus.There were significant differences in age,blood glucose control method,drinking history and coronary heart disease between patients with good blood glucose control and poor blood glucose control(P<0.05).Blood glucose control method is an independent influencing factor of blood glucose control in liver cirrhosis patients complicated with type 2 diabetes mellitus.Conclusion The current status of blood glucose control in liver cirrhosis patients complicated with type 2 diabetes mellitus in our hospital is not optimistic.Attention should be paid to the impact of blood glucose control methods on patients'blood glucose,and active measures should be taken to strengthen patients'blood glucose management.

陈杰;李红;曾鑫;林海蓉;刘静

电子科技大学医学院附属绵阳医院/绵阳市中心医院消化内科,四川 绵阳 621000电子科技大学医学院附属绵阳医院/绵阳市中心医院消化内科,四川 绵阳 621000电子科技大学医学院附属绵阳医院/绵阳市中心医院消化内科,四川 绵阳 621000电子科技大学医学院附属绵阳医院/绵阳市中心医院消化内科,四川 绵阳 621000电子科技大学医学院附属绵阳医院/绵阳市中心医院消化内科,四川 绵阳 621000

医药卫生

肝硬化2型糖尿病血糖控制

Liver cirrhosisType 2 diabetes mellitusBlood glucose control

《医学信息》 2026 (11)

52-55,62,5

四川省中医药管理局2024年中医药科研专项课题(编号:2024MS383)

10.3969/j.issn.1006-1959.2026.11.009

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