摘要
目的:对在社区站已建档管理在册的糖尿病合并高血压患病人群进行分析,发现糖尿病患者的血管并发症呈上升趋势,社区站全科医生应注重慢病干预管理工作。方法:对在北京市东城区新中街社区站已建档的2型糖尿病合并高血压患者30例,及在北京市东城区新中街社区站已建档的2型糖尿病无高血压、无心脑肾并发症患者27例,参加同仁医院在社区站举行的冠心病危险因素调查的血生化、心电图结果分析对比。结果:通过对比两组临床体征及检查结果,两组存在明显差异。结论:为了积极控制糖尿病,有效控制血压,社区站全科医生不仅要注重慢性病的治疗,更应做好慢性病的干预管理,还要重点关注慢性病的预防工作。
Objective:To stand in the community has been placed on file management in the register of diabetes combined with hypertension prevalence population analysis found that patients with vascular complications of diabetes were on the rise,community station general practitioners should focus on intervention in chronic disease management.Methods:New Street,Dong cheng District,Beijing community station has been placed on file management in the book's treatment of type 2 diabetes mellitus patients with hypertension,30 cases and in New Street,Dong cheng District,Beijing community station has been placed on file management in the register of type 2 diabetes without high blood pressure,mood,brain and kidney complications,and patient in 27 cases,through participation in the community Station Tongren Hospital risk factors for coronary heart disease,blood biochemical investigations,ECG analysis and comparison results.Results:Comparing the two sets of clinical signs and examination of the two groups varied significantly.Conclusion:Actively control diabetes,effective control of blood pressure.Community station general practitioners should not only focus on the treatment of chronic diseases,but also should be prepared to intervene in the management of chronic diseases,but also focus on chronic disease prevention.
关键词
2型糖尿病
高血压
慢性病管理
Type 2 diabetes mellitus
hypertension
chronic disease management