文章摘要
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,2008,28(1):64~
门诊糖尿病患者治疗管理现状的调查与分析
Current state of treatment and management of diabetic patients in the outpatient clinic
投稿时间:2007-07-19  
DOI:10.7655
中文关键词: 糖尿病  并发症  血红蛋白A,糖基化  血糖自我监测
英文关键词: diabetes mellitus  complications  hemoglobin A,glycosylated(HbAlc)  blood glucose self-monitoring
基金项目:江苏省医学重点学科项目资助(SK200214)
作者单位
陈丽云 南京医科大学第一附属医院内分泌科,江苏 南京 210029 
武晓泓 南京医科大学第一附属医院内分泌科,江苏 南京 210029 
蔡 娅 南京医科大学第一附属医院内分泌科,江苏 南京 210029 
周霓忻 江苏职工医科大学内儿教研室,江苏 南京 210029 
王爱民 江苏职工医科大学内儿教研室,江苏 南京 210029 
刘 超 南京医科大学第一附属医院内分泌科,江苏 南京 210029 
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中文摘要:
       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?
英文摘要:
      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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