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血糖知晓、控制、治疗状况对糖尿病患者预后的影响

Research of Treatment on the Prognosis of Diabetic With Glycemic Awareness Control and Treatment Status
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摘要 目的研究血糖知晓、控制、治疗状况对糖尿病患者预后的影响。方法选取该院就诊录入资料完整的糖尿病患者254例。以数字法随机分为干预组和对照组,每组127例。观察组患者行健康教育及药物治疗等干预措施,对照组患者按照日常医疗模式进行常规治疗。对比两组随访3 a之后患者血糖值变化及预后影响。结果干预组干预后知晓率和控制率分别为92.9%(118/127)与81.9%(104/127),均显著高于对照组的68.5%(87/127)和38.6%(49/127),差异有统计学意义(P<0.05)。干预组实施干预后FBG及PBG值分别为(4.51±0.67),(6.49±1.83),均明显低于对照组,差异有统计学意义(P<0.05)。干预组患者心脑血管事件发生率以及糖尿病新发率分别为3.9%(5/127),3.2%(4/127),均显著低于对照组的11.0%(14/127),10.2%(13/127),差异有统计学意义(P<0.05)。结论提高血糖知晓率、控制率以及改善治疗状况,对糖尿病患者预后较为理想,安全性好,值得推广应用。 Objective To study the effect of glycemic awareness control and treatment status on the prognosis of diabetic. Methods 254 diabetic were randomly divided into treatment group and control group (n = 127). The treatment group was accepted health education and drug therapy, while the control group was treated according to the routine medical model. After 3 years of follow - up of two groups, two groups of blood glucose change and prognosis were been campaved. Results The treatment group awareness rate and control rate ratio was 92.9% (118/127) and 81.9% ( 104/127), were significantly higher than those in control group 68.5% (87/127) and 38.6% (49/127) , the differences were statistically significant (p 〈 0.05) ; The treatment group after intervention, the FBG and PBG values were (4.51 ± 0.67) and (6.49 ±1.83), these were significantly lower than the control group, the differences were statistically significant (p 〈 0.05 ) ; In treatment group patients, the incidence of cardio cerebral vascular events and new onset diabetes rates were 3.9% (5/127) and 3.2% (4/127) , were significantly lower than the control group 11% (14/127) and 10.2% (13/127), the differences were statistically significant (p 〈 0.05). Conclusion Improved the awareness rate, control rate of glycemic and treament status can ideal for diabetic. It is safe and worth generalizing and applying.
作者 刘建月
出处 《河南职工医学院学报》 2014年第4期383-385,共3页 Journal of Henan Medical College For Staff and Workers
关键词 知晓率 控制率 血糖值 预后影响 糖尿病 awareness rate control rate blood glucose level prognosis diabetes
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