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

作　　者：朱婧[1] 顾愹[1] 蒋和敏[1] 郑旭琴[1] 范红旗[1] 孙敏[1] 王坚[2] 朱大龙[3] 马建华[4] 李伟[5] 崔世维[6] 成兴波[7] 杨涛[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]南京军区南京总医院内分泌科,江苏南京210002 [3]南京市鼓楼医院内分泌科,江苏南京210008 [4]南京市第一医院内分泌科,江苏南京210006 [5]徐州医学院附属医院内分泌科,江苏徐州221006 [6]南通大学附属医院内分泌科,江苏南通226001 [7]苏州大学附属第一医院内分泌科,江苏苏州215006

出　　处：《南京医科大学学报（自然科学版）》2016年第12期1556-1560,共5页Journal of Nanjing Medical University(Natural Sciences)

基　　金：国家自然科学基金(81270897;81530026;81300668;81400813;81370922)

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T_1DM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。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 A1 C 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.

关 键 词：1型糖尿病 现状 问卷调查 

分 类 号：R587.1[医药卫生—内分泌]