586例糖尿病患者临床的的特点分析.docVIP

586例糖尿病患者临床的的特点分析 　　摘 要目的：调查分析长白社区卫生服务中心所管理的糖尿病患者临床特点，为下一步工作提出指导性意见。方法：从电脑中调出目前本中心所管理的所有糖尿病患者资料，用Excel2000软件对数据进行单因素统计分析。结果：健康档案和社区门诊为病例的主要来源，共占65.7％，病例中女性多于男性，60周岁以上患者共占84.13％，病人普遍年龄较大；老年糖尿病患者首发症状典型的仅占0.17％，无明显症状者占74.75％，典型病例少见；目前未出现并发症者占63.14％，今后预防并发症工作较重；联合用药偏少，胰岛素使用频率过低（占8.70％），血糖控制情况不容乐观。结论：依托社区卫生服务中心开展糖尿病防治是个明智的选择；本社区应加大干预力度，减少并发症发生，减少病人病残率及病死率，为保障居民健康服务。 　　关键词糖尿病；管理；临床特点 　　 　　AbstractObjective：To investigate and analyze the clinical characteristic of Diabetes patients in the Shanghai Changbai Community Health Service Centre, and put forward the guiding proposals to next work. Methods：From the computer, we searched out the materials of all Diabetes patients in our centre, and utilized Excel2000 software to do the single factor statistical analysis to the data. Results：The health archives and community outpatients are the principal source of our case of illness, it accounts for 65.7 percent of the total, and female patients is more than the male, and the patients for above 60 years old is 4.13 percent, and the age for general patients are older；The ratio for elder Diabetes patients with typical early symptom is only 0.17 percent; The ratio for patients with no symptom is 74.75 percent; The typical cases of Diabetes are rare；Currently, the ratio which is regarding no complication is 63.14 persent. For the future, the work on complications prevention is more difficult；The united medication are used limited, and the frequency of using Insulin is low（It accounted for 70 percent）, and the situations of blood sugar controlling is not optimistic. Conclusions：Its advisable choice that patients can depend on the Community Health Service Centre to prevention and cure the Diabetes；In our Community Health Service Centre, we should ensure related health services for our inhabitants, and increase the intervention in order to reduce the complication occurring and decrease the ratio of disabled and death. 　　Key Words Diabetes； Management； Clinical Characteristic 　　 　　随