门诊糖尿病患者治疗管理现状的调查与分析
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江苏省医学重点学科项目资助(SK200214)


Current state of treatment and management of diabetic patients in the outpatient clinic
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    摘要:

    目的:了解门诊糖尿病患者治疗与管理现状-方法:选取在本院门诊连续治疗1年以上糖尿病患者,通过门诊访谈-病历调查,收集患者的人口学资料-治疗检查状况-血糖-血压-血脂等指标以及慢性并发症情况-结果:入选患者257名,年龄(61.8 ± 12.3)岁,糖化血红蛋白(HbA1c)均值为7.3% ± 1.5%-患者血糖-血压-血脂的达标率均高于2003年中国的调查结果(P < 0.05)-现患率排前3位的并发症为白内障-糖尿病神经病变和微量白蛋白尿-而影响血糖达标治疗的因素包括吸烟-饮食-运动-糖尿病教育-病程和文化程度-结论:本院2005年门诊糖尿病患者血糖-血压-血脂达标率高于2003年全国平均水平,但仍有72.7%的患者血糖未能满意控制-因此,仍需强化糖尿病教育,减少晚期并发症的发生-

    Abstract:

    Objective:To investigate the current state of treatment and management of diabetic patients in the outpatient of our hospital. Methods:Outpatients treated for 12 months or longer were enrolled in our study. Demographic data,treatment information,routine tests,and chronic complications were collected through outpatient interview and case history investigation. Results:Total 257 patients were enlisted,whose average age was(61.8 ± 12.3) years and HbAlc average value was(7.3 ± 1.5)%. The standard-meeting rate of blood glucose,blood pressure and lipid profile was higher than those of investigation results in 2003 China(P < 0.05). Cataract,diabetic neuropathy and microalbuminuria ranked top three complications among all ones. Major factors affecting the standard-meeting rate of blood glucose were smoking,diet,exercise,education,duration of diabetes and level of literacy. Conclusion:The standard-meeting rate of blood glucose,blood pressure and lipid profile among diabetic patients in our outpatients in 2005 was higher than the national average level in 2003. 72.7% of diabetic patients failed in achieving optimal glycemic control. Thus,it is still important to promote education on diabetes to prevent the advanced complications.

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陈丽云,武晓泓,蔡 娅,周霓忻,王爱民,刘 超.门诊糖尿病患者治疗管理现状的调查与分析[J].南京医科大学学报(自然科学版),2008,28(1):64-

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  • 收稿日期:2007-07-19
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