强化随访对2型糖尿病患者血糖控制的影响  

Effect of Intensive Follow-up on Blood Glucose Control of Patient with TypeⅡDiabetes

作　　者：马凤荣[1] 

机构地区：[1]北京中医药大学附属护国寺中医医院内科病房,北京100035

出　　处：《中国中医药现代远程教育》2015年第8期19-20,共2页Chinese Medicine Modern Distance Education of China

基　　金：北京中医药大学附属护国寺中医医院院级课题(No:2014-009)

摘　　要：目的观察强化随访对2型糖尿病患者血糖监测及控制的效果。方法将64例2型糖尿病患者随机分为强化组和对照组各32例,两组患者均作常规出院评估,强化组增加随访次数(出院后第一月内每周一次,第二月起每两周一次,第三月起每月一次共计随访6个月,10次)。对照组患者常规随访(出院后2月电话随访一次,共计6个月,3次)。6个月后观察两组患者空腹血糖、餐后2 h血糖及糖化血红蛋白变化情况。结果 6个月后两组患者空腹血糖、餐后2小时血糖及糖化血红蛋白指标均有明显下降(P<0.05)具有统计学意义。结论对2型糖尿病患者进行强化随访能够提高患者遵医行为,使血糖得到有效控制,提高患者的生活质量。Objective Observing the effect of intensive follow-up on blood glucose control of patient with type Ⅱ diabetes. Methods 64 patients of Type II diabetics were put into intensifying group and comparing group, with 32 patients in each group. The two groups of patients would be evaluated normally after leaving hospital. The patients in comparing group will get more chances of follow-up（once a week after going out of the hospital for the first month, twice a month for the second month and from the third week to the sixth week once a month and total 10 times）, while the patients in the observing group will get normal follow-up（ every 2 month after going out of hospital and total 6 times by telephone）. Observing the blood glucose level before eating, blood glucose level two hours after eating and the change of glycosylated hemoglobin 6 month later）. Results 6 month later, the blood glucose level before eating, blood glucose level two hours after eating and the data of glycosylated hemoglobin of the two groups had clearly declined（ P 〈0.05） and had statistically significant. Conclusion The follow-up in blood glucose control of patient with type Ⅱ diabetes would enable the patients to follow the doctor’s direction and effectively control the blood glucose and improve the living quality of the patients.

关 键 词：强化随访 糖尿病 血糖监测 

分 类 号：R473.5[医药卫生—护理学]