1595例建档糖尿病患者管理现状分析  

Management of diabetic patients： an investigation of current status

作　　者：李晓峰[1] 施羽[1] 施亚男[1] 倪玲玲[1] 卫东琴[1] 

机构地区：[1]启东市人民医院内分泌科,江苏启东226200

出　　处：《徐州医学院学报》2013年第12期853-855,共3页Acta Academiae Medicinae Xuzhou

摘　　要：目的 调查建档糖尿病患者的管理现状,探讨开展糖尿病管理质量控制的必要性.方法 调查分析1 595例在启东市人民医院就诊并建立电子档案的糖尿病患者的代谢、体格检查指标,血糖及糖化血红蛋白的监测情况及糖尿病慢性并发症的筛查情况.对比140例配合较好的患者管理前后血糖及糖化血红蛋白的变化情况.结果 ①代谢指标与体格检查指标：血脂、血压、身高、BMI、腰围及足背动脉搏动的检查率分别为：76.2％、78.2％、93.2％、93.0％、87.6％、7.7％.②糖尿病慢性并发症筛查：血管超声、肝功能、肾功能、尿蛋白、眼底以及下肢神经的检查率分别为：18.6％、80.4％ 、82.4％ 、65.8％、8.0％、14.4％.③建档管理后患者空腹血糖及糖化血红蛋白均较管理前明显改善.④餐后血糖及糖化血红蛋白的定期复诊率低,血压及血脂的达标率仅分别为44.2％及34.2％.结论 糖尿病患者的管理质量有待进一步提高.Objective To investigate the management of diabetic patients and to discuss the necessity of more emphasis on quality control of diabetes mellitus. Methods Electronic archives for l 595 cases of patients with diabetes in our hospital were established. We investigated the examination of anthropometrie measurement, metabolic profile, blood glucose monitoring, and screening for chronic diabetic complications in these patients. Meanwhile, the changes of glucose and glycated hemoglobin in 140 cases of patients with good treatment compliance were analyzed. Results （1） Examination of anthropometric measurement and metabolic profile ： the percentages of patients who received examination of lipoprotein profile, blood pressure, stature, waist circumference, and examination of dorsal artery of foot were 76.2%, 78.2%, 93.2%, 93.0% , 87.6% ,and 7.7% , respectively. （2） Screening for chronic diabetic complications：the percentages of patients who received vascular ultrasound, liver function test, renal function test, urine protein test, and the physical check - up for the fundus and lower extremity nerves were 18.6%, 80.4% , 82.4% , 65.8%, 8.0% , 14.4% , respectively. （3） Glucose and glycated hemoglobin after filing were lower than before filing, the difference was statistically significant （P 〈 0.05）. （4） Few patients pay attention to regular detection of glycated hemoglobin and blood glucose after meal. The lipoprotein profile in 34.2% patients and hypertension in 44.2% patients were well - controlled on discharge. Conclusion It is urgent to improve the management of diabetes patients.

关 键 词：糖尿病 病例管理 质量控制 档案 

分 类 号：R587.1[医药卫生—内分泌]