互联网结合中医特色慢病管理对2型糖尿病治疗疗效观察

Effects of internet plus management of chronic diseases with TCM characteristics on type 2 diabetes

目的:探讨互联网结合中医特色慢病管理对2型糖尿病治疗疗效。方法:选取2017年6月-2018年6月广州市番禺区中医院住院及门诊年龄小于60岁并愿意参组的2型糖尿病患者60例作为研究对象,随机分成对照组和治疗组,每组30例。对照组患者予以常规西医降糖治疗及常规饮食指导,而治疗组在予以西医降糖治疗的基础上应用微信群根据患者体质进行辨证施膳、运动锻炼指导、定时发布相关的糖尿病知识。干预及观察1年,治疗期间监测患者空腹血糖、餐后血糖、糖化血红蛋白(Hb A1c)、肌酐(Creatinine,CRE)水平,应用焦虑自评量表(Self-rating Anxiety Scale, SAS)、纽芬兰幸福度量表(Munsh)对定期对患者进行评分,比较治疗组及对照组之间的差异。结果:在干预1年后,治疗组患者的空腹血糖、餐后2小时血糖、糖化血红蛋白、肌酐水平均明显低于对照组,差异具有统计学意义(P<0.05);治疗组及对照组患者在治疗后SAS的评分均有降低,且治疗组患者显著低于对照组,但两组之间差异不具有统计学意义(P>0.05);两组患者在治疗后Munsh评分升高,且治疗组显著高于对照组,差异具有统计学意义(P<0.05)。结论:互联网结合中医特色慢病管理对2型糖尿病患者实施干预,能有效控制血糖、糖化血红蛋白及肌酐水平,有效地改善患者焦虑情绪,提高患者幸福感。

Objective: To explore the curative effect of internet plus management of chronic diseases with TCM characteristics on type 2 diabetes. Methods: From June 2017 to June 2018, 60 patients with type 2 diabetes who were younger than 60 years old and willing to participate in the treatment group were selected as subjects, and randomly divided into the control group and the treatment group, 30 patients in each group. Patients in the control group were treated with conventional western medicine and routine dietary guidance. Patients in the treatment group were treated with western medicine, and We Chat group was used to conduct dialectical diet, exercise guidance and regularly release relevant diabetes knowledge according to patients’ physique. During the treatment, glucose, postprandial blood glucose, glycohemoglobin, and creatinine were monitored. SAS and MUNSH were used to remark the score of patients regularly, and the differences between the treatment group and the control group were compared. Results: After 1 year of intervention, the levels of glucose, 2 hours blood glucose, glycosylated hemoglobin and creatinine in the treatment group were significantly lower than those in the control group(P<0.05). The SAS scores in the treatment group and the control group were both decreased after treatment, and those in the treatment group were significantly lower, but the difference between the two groups was not statistically significant(P>0.05). MUNSH scores in two groups were increased after treatment, and those in the treatment group was significantly higher(P<0.05). Conclusion: Internet with the management of chronic diseases with TCM characteristics can effectively control the level of blood glucose, glycosylated hemoglobin and creatinine, effectively improve the anxiety of patients and improve their well-being.