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基层社区医院对糖尿病患者实施规范化管理的临床效果与治疗成本 被引量:32

The Clinical Evaluation and Treatment Cost of the Diabetic Patients after Standardized Management in Basic Community Hospital
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摘要 目的探讨对2型糖尿病患者实施规范化管理后的临床效果与治疗成本。方法将118例糖尿病患者随机分为两组,规范化管理组(60例)和非规范化管理组(58例),比较管理前、管理后1年两组患者的早餐前与早餐后2 h血糖、糖化血红蛋白(HbA1c)、体质指数(BMI)、糖尿病知识知晓率、规律服药率及人均治疗费用有无差别。结果管理1年后两组患者早餐前及早餐后2 h血糖、HbA1c、BMI水平以及规律服药率、糖尿病知识知晓率比较,差异均有统计学意义(P<0.05);2009年规范化管理组与非规范化管理组的人均治疗费用比较,差异有统计学意义(P<0.01)。结论对2型糖尿病患者实施社区综合干预规范化管理可取得良好的临床效果,降低了治疗费用。 Objective To discuss the clinical effect and treatment cost of the type2 diabetic patientsafter standardized management.Methods 118 diabetic patients were randomly divided into two groups as standardized management group(60 cases) and non-standardized management group(58 cases).Fasting blood glucose and 2 h postprandial blood glucose,glycosylated hemoglobin(HbA1c),body mass index(BMI),diabetes knowledge,regular medication rate and mean medical cost were compared before standardized management and one year after standardized management.Results One year after standardized management,the fasting blood glucose and 2 h postprandial blood glucose,HbA1c,BMI,diabetes knowledge,regular medication rate and mean medical cost of the two groups had significant differences(P 0.05).The difference of mean medical cost between the two groups in 2009 was also significant(P 0.01).Conclusion The integrated and standardized management for type 2 diabetic patients are successful in basic community hospital.It produces good clinical results,and reduces treatment costs.
作者 陈云
机构地区 天竺镇卫生院
出处 《中国全科医学》 CAS CSCD 北大核心 2010年第33期3771-3773,共3页 Chinese General Practice
关键词 糖尿病 2型 社区卫生中心 疾病管理 Diabetes type 2 Community health center Disease management
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