城乡结合部四季青社区糖尿病患者社区慢性病管理的疗效初评.pdfVIP

中国医药导刊 181 2014年 第16 卷 第1 期 （总第123期） 城乡结合部四季青社区糖尿病患者社区慢性病管理的疗效初评 丁燕,陈玉洁 (北京四季青医院急诊科内科,北京 100097) 【摘要】目的:评价城乡结合部糖尿病社区慢性病管理的效果。方法:176例2型糖尿病患者完成了基线资料的收集,包括HbA 1c 、 FPG 、血脂四项、尿微量白蛋白、肝肾功能测定和眼底照相。随访中血糖控制不好者转诊至上级医院内分泌科进一步治疗。145 例患者完成了1.5年的随访。结果:转诊且遵医嘱者HbA 1c的改善明显好于未遵医嘱时,患者的空腹血糖、餐后2小时血糖,低密度脂 蛋白显著改善,P0.05有统计学意义。结论:四季青社区糖尿病患者的社区慢病管理可以改善糖尿病患者餐后2小时血糖及低密度 脂蛋白,糖化血红蛋白可有不同程度的改善,改善了患者的生活质量,提高了社区糖尿病初级保健管理水平。 【关键词】糖尿病;社区;慢性病管理 【中图分类号】R 197.2;R587.1 【文献标识码】B 【文章编号】1009-0959(2014)01-0181-03 Clinical Evaluation of Sijiqing Urban Community Diabetic Patients in the Community Management of Chronic Diseases Ding Yan,Chen Yuj ie (Department of Emergency,Internal Medicine,Beij ing Sij iqing Hospital,Beij ing 100097,China) 【 】 Evaluation of urban-rural community-based diabetes management results. 176 patients with type ABSTRACT Objective: Methods: 2 diabetes patients ompleted the baseline data collection, including HbA 1c, FPG, lipids four, urinary albumin, liver and kidney function test, and fundus photography. Follow-up of poor blood sugar control were referred to higher levels of Endocrinology, Hospital for further treatment.145 cases of patients completed the follow-up of 1.5 years.Results:The doctor who referred the improvement of HbA 1c was significantly better than that without referral or referral but doctor, patients in the fasting blood glucose, postprandial 2 h blood glucose, significantly improved low-density lipoprotein.Conclusion:Sij iqing community community-based diabetes manag