文章摘要
朱 婧,顾 愹,蒋和敏,郑旭琴,范红旗,孙 敏,王 坚,朱大龙,马建华,李 伟,崔世维,成兴波,杨 涛.1型糖尿病诊疗现状调查分析[J].南京医科大学学报,2016,(12):1556~1560
1型糖尿病诊疗现状调查分析
Survey of present status of diagnosis and treatment of type 1 diabetes mellitus
投稿时间:2016-06-27  
DOI:10.7655/NYDXBNS20161243
中文关键词: 1型糖尿病  现状  问卷调查
英文关键词: type 1 diabetes mellitus  present status  questionnaire
基金项目:
作者单位
朱 婧 南京医科大学第一附属医院内分泌科,江苏 南京 210029 
顾 愹 南京医科大学第一附属医院内分泌科,江苏 南京 210029 
蒋和敏 南京医科大学第一附属医院内分泌科,江苏 南京 210029 
郑旭琴 南京医科大学第一附属医院内分泌科,江苏 南京 210029 
范红旗 南京医科大学第一附属医院内分泌科,江苏 南京 210029 
孙 敏 南京医科大学第一附属医院内分泌科,江苏 南京 210029 
王 坚 南京军区南京总医院内分泌科,江苏 南京 210002 
朱大龙 南京市鼓楼医院内分泌科,江苏 南京 210008 
马建华 南京市第一医院内分泌科,江苏 南京 210006 
李 伟 徐州医学院附属医院内分泌科,江苏 徐州 221006 
崔世维 南通大学附属医院内分泌科,江苏 南通 226001 
成兴波 苏州大学附属第一医院内分泌科,江苏 苏州 215006 
杨 涛 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:了解江苏省1型糖尿病诊疗现状,以期提高1型糖尿病诊断治疗水平?方法:设计调查问卷,对江苏省12市共35家三级医院的内分泌科医师进行问卷调查,内容主要包括1型糖尿病诊断?治疗?血糖控制?教育和随访?结果:共回收有效问卷417份?71.9% 医师首选“基础+餐时”胰岛素方案,75.1%医师曾处方加用口服降糖药物,不同职称组间差异均无统计学意义(P > 0.05)?91.4%和85.6%的医师推荐“利用血糖仪进行自我血糖监测”和“糖化血红蛋白测定”作为血糖监测方法?约80%医师近期接诊的T1DM患者都曾发生低血糖事件及酮症?患者自我管理能力被认为是影响医师处方的一大因素?结论:医师对1型糖尿病诊疗基础认知较好,但诊疗现状总体有待进一步提高?
英文摘要:
      Objective:To investigate and improve the management of type 1 diabetes mellitus in Jiangsu Province. Methods:A questionnaire designed for this survey was used to learn about the diagnosis,treatment,glycemic control,education and follow-up of type 1 diabetes mellitus among endocrinologists from 35 tertiary hospitals in Jiangsu Province. Results:Altogether 417 valid questionnaires were collected. Among them,71.9% of endocrinologists preferred multiple daily injections basal-bolus insulin regimens from diagnosis,and 75.1% of endocrinologists had prescribed oral medicines in combination with insulin. There was no significant difference among different professional title groups(P > 0.05). Self-monitoring of blood glucose(SMBG)and hemoglobin A1C measurement were recommended by 91.4% and 85.6% of endocrinologists respectively. Hypoglycemic events and ketosis occurred in nearly 80% patients. The self-management skills had become the main factor influencing endocrinologists’ decisions.Conclusion:The mastering of basic perception of type 1 diabetes mellitus knowledge is satisfactory among the endocrinologists,while overall level of diagnosis and treatment remains to be improved.
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