辽宁省缺血性脑卒中患者的糖尿病患病现状及其影响因素分析

Background Diabetes mellitus is an important risk factor for the onset, recurrence, disability and death of ischemic stroke. Assessing the prevalence of diabetes in patients with ischemic stroke , and carrying out targeted comprehensive prevention and control can effectively improve the prognosis of patients. Objective To understand the current situation of ischemic stroke patients complicated with diabetes in Liaoning Province, and to provide theoretical basis for targeted intervention. Methods From 2017 to 2018, a cross-sectional survey of ischemic stroke patients in 28 villages in 6 counties and districts in Liaoning Province was conducted by cluster sampling. Multivariate logistic regression was used to analyze the influencing factors of diabetes prevalence, awareness, treatment and control of ischemic stroke patients. Results The prevalence, awareness, treatment, and control rates of diabetes among ischemic stroke patients in Liaoning Province were 29.5%, 63.3%, 56.4%, and 47.2%, respectively. Multivariate logistic regression suggested that region [OR=1.818,95%CI(1.317,2.508),P0.001], family history of diabetes [OR=2.790,95%CI(1.922,4.050),P0.001], hypertension [OR=1.813,95%CI(1.160,2.834),P=0.009], high triglycerides [OR=2.312,95%CI(1.631,3.277),P0.001], high-low density lipoprotein cholesterol [OR=2.241,95%CI(1.300,3.865),P=0.004], and being overweight or obese [OR=1.562,95%CI(1.136,2.146),P=0.006] were the influencing factors to diabetes mellitus in ischemic stroke patients; Region [OR=1.865,95%CI(1.086,3.203),P=0.024], family history of diabetes [OR=2.402,95%CI(1.306,4.416),P=0.005] and high cholesterol [OR=0.389,95%CI(0.215,0.705),P=0.002] were the influencing factors for diabetes awareness; 60-69 years old [OR=3.052,95%CI(1.523,6.115),P=0.002], region [OR=1.866,95%CI(1.104,3.155),P=0.020], family history of diabetes [OR=2.303,95%CI(1.275,4.161),P=0.006] and high cholesterol [OR=0.387,95%CI(0.210,0.713),P=0.002] were the influencing factors of diabetes treatment; Region [OR=1.916,95%CI(1.021,3.595),P=0.043] was the influencing factor of reaching the standard of blood glucose control in patients with ischemic stroke and diabetes. Conclusions The prevalence of diabetes in patients with ischemic stroke in Liaoning Province is relatively high, while the awareness, treatment and control of the disease are still at a low level. It is urgent to carry out comprehensive prevention and control based on relevant influencing factors.