摘要
对2015年1月1日至3月1日期间在青岛市市南区医院就诊、行社区-二级-三级医院联合防治管理(三级联合防治管理)1年的106例糖尿病患者的临床资料,进行回顾分析,并与106例未行三级联合防治管理患者(对照组)比较.管理12个月后,观察组患者的血糖[空腹血糖(6.8±2.3)比(8.7±2.8) mmol/L,餐后血糖(8.9±1.9)比(11.9±2.9) mmol/L]、血脂、糖化血红蛋白[(6.9±1.2)%比(7.8±1.5)%]等指标较对照组明显降低(均P〈0.05);胰岛功能[稳态模型胰岛β细胞功能(2.87±0.57)比(2.24±0.35)]、自我管理能力[(19.9±4.5)比(11.9±3.0)分]及血糖控制达标率(64.2%比16.0%)较对照组明显升高(均P〈0.05);观察组与对照组并发症发生率分别为34.0%、44.3%,转诊率分别为46.2%、19.8%.提示三级联合防治管理对2型糖尿病患者的血糖、血脂等指标的控制、胰岛功能、自我管理能力及血糖控制达标率的提高有促进作用,有利于预防并减少糖尿病并发症的发生.
Two hundred and twelve type 2 diabetes mellitus (T2DM) patients were followed up for 1 years,they were divided randomly into the control group and the study group (n =106 for each).Patients in study group were managed by a community-secondary hospital-tertiary hospital integrated system.The blood glucose,lipids,islet function,glucose control rate,self-management ability,diabetic complications,and referral rate were compared between two groups.The levels of blood glucose,lipid,blood pressure and glycosylated hemoglobin in study group were significantly lower than those in control group (P 〈 0.05).The islet function,self-management ability and blood glucose control rate in study group were significantly higher than those of in control group after the management (P 〈 0.05).During the 12-month follow-up the incidence rates of complications in study group and control group were 34.0%,44.3%;and referral rates were 46.2%,19.8%,respectively.The integrated management system is beneficial to T2DM patients with improving the control rate of blood glucose,enhancing the ability of self-management,and reducing the incidence of diabetic complications.
出处
《中华全科医师杂志》
2016年第11期864-867,共4页
Chinese Journal of General Practitioners
基金
青岛市市南区科技发展项目(2014-14-027-YY)
关键词
糖尿病
2型
疾病管理
Diabetes, type 2
Disease management