厦门市社区-医院一体化糖尿病管理效果评价  

Effectiveness of community-hospital-based integrated management of diabetes patients in Xiamen, Fujian province

作　　者：唐国宝[1] 张民福[1] 王秀琴[2] 

机构地区：[1]厦门大学附属第一医院社区部,361001 [2]厦门医学高等专科学校,361001

出　　处：《中华全科医师杂志》2011年第1期39-40,共2页Chinese Journal of General Practitioners

摘　　要：2004年至2009年对厦门市中华、厦港社区医疗中心所管辖的701例糖尿病患者实施社区-医院一体化管理,比较管理前后糖尿病患者临床指标均值、生活方式、并发症的变化.随着管理时间的延长,观测的临床指标均值呈下降趋势,空腹血糖由建档时（7.6±2.3）mmol/L降至管理后2年时的（6.9±1.7）mmol/L;生活方式有明显改善;并发症检查率有提高（P＜0.05）。During 2004 to 2009, 701 patients with diabetes were under community-hospital-based integrated management at Zhonghua and Xiagang community health-care service centers, Xiamen, Fujian.Changes of clinical indicators, life-style and frequency of checks for its complications in them were compared before and after the management. All clinical indicators decreased with length of management, with fasting blood glucose from （ 7. 6 ± 2. 3 ） mmol/L before management to （ 7. 3 ± 2. 0） mmol/L half a year after management, （7. 2 ± 2. 1 ） mmol/L one year after management, （6. 9 ± 1.7 ） mmol/L two years after management. Their life-style also improved significantly and frequency of checks for complications increased with： 54. 4% for retinopathy, 52. 5% for diabetic foot, and 51.8% for neuropathy after management （P 〈0. 05）.

关 键 词：社区卫生服务 评价研究 

分 类 号：R587.1[医药卫生—内分泌]