摘要
目的:分析北京劲松社区医院与北京三甲医院联合管理社区2型糖尿病(T2DM)患者的5年达标动态效果。方法:劲松社区441例T2DM患者随机分为强化管理组(强化组,n=220)和标准管理组(标准组,n=221);分别采用不同连续联合管理5年,比较两组管理前后各相关指标和联合达标率,以及不同年份两组各指标达标率变化。结果:管理前两组间除舒张压(DBP)外,其它各指标既空腹血糖(FPG)、糖化血红蛋白(HbA1c)、收缩压(SBP)和低密度脂蛋白胆固醇(LDL-C))达标率比较均无统计学意义(P>0.05),联合管理后,两组组间各项指标达标率和联合达标率均明显高于管理前(P<0.01),强化组5年联合达标率(40.91%)显著高于标准组(32.13%)(P<0.05);强化组FPG、HbA1c、血压达标率分别为从54.09%到72.27%、40.00%到70.09%、68.18%到86.81%,也显著高于标准组(P<0.01)。结论:社区医院与三甲医院联合管理模式可有效提高T2DM患者达标率。
Objective:To explore the dynamic effects of 5years outcome rate of patients with type 2diabetes who was joint managed by jinsong community and tongren hospital.Method:441patients with type 2diabetes in Jinsong community were randomly divided into to the intensive group(n=220)and the standard group(n=221)randomly.They were managed by unified model respectively for five years.The changes in the indicators and the joint standard-achieving rate were compared before and after 5years’ treatment.Results:There were no significant differences in compliance rates between the two groups before comprehensive management(P〉0.05).After comprehensive management,the joint standard-achieving rate in the intensive group control increased from 2.73%to 40.91%,which was significantly higher than that in the standard group(32.13%).The control rates of fasting plasma glucose,glycolated hemoglobin and blood pressure in the intensive group were increased from 54.09%to 72.27%,40.00%to 70.90% and 68.18%to 86.81%,respectively which were significanlly higher than that of standard group(P〈0.01).The differences were statistically significant.Conclusion:The joint management mode of community hospitals and 3Ahospitals could improve the standard-achieving the patients with type 2diabetes.
出处
《微循环学杂志》
2016年第1期24-29,共6页
Chinese Journal of Microcirculation
基金
首都医学发展科研基金(2007-1035)
首都卫生发展科研专项(2011-2005-01)
国际糖尿病联盟桥基金(ST12-024)
关键词
2型糖尿病
社区管理
联合达标率
Type 2Diabetes
Community management
Joint standard-achieving