| 社区2型糖尿病诊治管理的临床研究 |
| 投稿时间：2010-10-10 修订日期：2010-11-16 点此下载全文 |
| 引用本文：陈立波,顾建芬,张长宁,黎丽萍,韩瑾,赵海燕,崔艳凤.社区2型糖尿病诊治管理的临床研究[J].医学研究杂志,2010,39(12):120-121 |
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| 中文摘要:目的探讨糖尿病社区、医院、社区-医院一体化管理的效果，寻求最适合糖尿病患者诊治的管理方案。方法210例2型糖尿病患者分为A组（社区治疗组）、B组（医院治疗组）、C组（社区-医院双向转诊组）3组。分别随访2年后比较三组的空腹血糖、餐后2h血糖、糖化血红蛋白、24h尿微量清蛋白、眼底、治疗费用及患者满意度。结果三组患者的空腹血糖、餐后2h血糖及糖化血红蛋白较2年前均有显著改善，B组及C组的餐后2h血糖及糖化血红蛋白的比A组低。A组的医疗费用最低。C组的患者满意度最高。结论社区、医院、社区-医院一体化管理均可改善糖尿病患者的血糖水平。社区-医院一体化管理更适合社区糖尿病的诊治。 |
| 中文关键词:糖尿病 社区 医院 管理 |
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| Study of Management of Type 2 Diabetes in Community |
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| Abstract:ObjectiveTo study the effect of managements in community, hospital and community- hospital of type 2 diabetes mellitus. Methods210 type 2 diabetes mellitus were divided into group A (followed in community), group B (followed in hospital), group C (followed in community, transferred to hospital necessary). Fasting plasma glucose, postprandial plasma glucose, HbA1c, micro-albumen and retinapathy were measured before and after 2 years follow-up in three groups. Expenses and satisfaction were evaluated after 2 years follow-up in three groups. ResultsFasting plasma glucose, postprandial plasma glucose and HbA1c of patients decreased significantly in three groups after 2 years follow-up. Postprandial plasma glucose and HbA1c of patients of group B and group C were lower than those of group A. Expenses were lowest in group A. Satisfaction was highest in group C. ConclusionManagement in community- hospital fits type 2 diabetes mellitus in community. |
| keywords:Diabetes mellitus Community Hospital Management |
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