例糖尿病患者出院后的随访结果分析.pdfVIP

·2508 · 齐齐哈尔医学院学报2013年第34卷第17期　 Journal of Qiqihar University of Medicine,2013,Vol.34,No.17 ·经验交流· 122例糖尿病患者出院后的随访结果分析 韦保安　 王新芳 【摘要】　 目的　 调查本年度县医院2 型糖尿病患者出院后血糖控制情况,探讨影响因素,为我县慢 性病门诊管理提供政策依据。 方法　 随访经内分泌科出院后的122 例糖尿病患者,通过随访,观察其血 压、血糖、血脂和糖化血红蛋白控制情况。 结果　 教师及公务员空腹及餐后2 h血糖控制情况相对较好, 司机、厨师血脂、血糖控制不良;农民血糖、血脂、糖化血红蛋白控制均较差。 结论　 控制情况不理想,形势 不容乐观,糖尿病教育势在必行。 【关键词】　 2型糖尿病;　 出院后血糖控制;　 分析对策 Analysis of follow-up results in 122 diabetic patients after discharge　 WEI Bao-an,et al. 　 The Third Department of InternalMedicine,Nanzheng County Hospital,Nanzheng,Shanxi723100,China. 【Abstract】　 Objective　 To investigate the type II diabetes mellitus blood glucose control in the county hospital after discharge and to provide policy basis for outpatient management of chronic diseases by means of discussing influencefactors. Methods　 Followed up the 122 diabetic patients after dischargefrom endocrinology department and observed their blood pressure,blood glucose,blood lipid and glycosylated hemoglobin control by telephone. Results　 FPG,2h-PG of teachers and civil servants were controlled better relatively. Drivers and chefswere the group with poorly controlled blood glucose and blood lipid. The blood glucose,blood lipid and glycosylated hemoglobin of farmers were controlled badly. Conclusions　 The diabetes-related indicators are severe and the situation is not ideally controlled. It is very important to develop diabetic education. 【Key words】　 Type II diabetes mellitus;　 Blood glucose control after discharge;　 Analysis and countermeasures 　 　 糖尿病是继肿瘤、心血管疾病之后第三大严重威胁人类 次/ d;12人皮下注射甘舒霖30R,2次/ d;20人采用每晚10点 健康的慢性非传染性疾病,是一个日益严重的社会公共卫生 皮下注射长效胰岛素(长秀霖/ 来得时)配合三餐前口服降糖 问题。 据国际糖尿病联盟(IDF)统计,目前全球有糖尿病患 药物(具体使用情况见表 1)。 60 人口服降糖药物并配合饮 者2.85亿,按目前速度估计,到2030年全球将有5亿人患糖 食治疗,12人单纯饮食控制。 尿病。 我国20 岁糖尿