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

作　　者：陈丽云[1] 武晓泓[1] 蔡娅[1] 周霓忻[2] 王爱民[2] 刘超[1] 

机构地区：[1]南京医科大学第一附属医院内分泌科,江苏南京210029 [2]江苏职工医科大学内儿教研室,江苏南京210029

出　　处：《南京医科大学学报（自然科学版）》2008年第1期64-67,74,共5页Journal of Nanjing Medical University(Natural Sciences)

基　　金：江苏省医学重点学科项目资助(SK200214)

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。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.

关 键 词：糖尿病 并发症 血红蛋白A 糖基化 血糖自我监测 

分 类 号：R587.1[医药卫生—内分泌]