糖尿病防治一体化的疗效评价

Therapeutic Effect of Integration of Prevention and Treatment on Diabetes

目的评价对糖尿病患者实施防治一体化综合治疗的效果。方法筛查选取635例糖尿病患者,建立糖尿病县乡村三级防治一体化管理系统,收集患者健康档案、糖尿病三级预防工作记录、糖尿病患者随访管理信息,观察患者的依从率和治疗半年后、一年后总有效率及不同分型的血糖控制率。结果 635例患者经防治一体化综合治疗,依从性好的患者563例(88.66%);治疗1年后总有效率明显高于治疗半年后(71.02%比41.42%,χ2=116.734,P<0.01),1型糖尿病患者血糖控制率与2型糖尿病患者血糖控制率比较差异无统计学意义(43.75%比45.18%,χ2=0.048,P=0.827)。结论糖尿病防治一体化方案治疗糖尿病有较好的临床疗效,能够提高糖尿病患者综合治疗依从性。

Objective To evaluate the clinical effect of integration of prevention and treatment on diabetes. Methods A total of 635 diabetes patients were selected in this study. The integrated management system for the prevention and treatment of diabetes were established at the county, township and village levels, and patients＇~ health records, three-level prevention records and fol- low-up information were collected. Compliance rate,total effective rate and blood glucose control rate were observed in these patients. Results Among the 635 patients,563（88.66%） had good compliance. The total effective rate after treatment for 1 year was significantly higher than that after treatment for half a year（71.02% vs 41.42% ,P〈0.01）. There was no significant difference in blood glucose control rate between type 1 diabetic patients and type 2 diabetic patients（43.75 % vs 45.18% ,P=0.827）. Conclusion The integration of prevention and treatment has good clinical efficacy and improves the compliance in patients with diabetes.