2型糖尿病“三一模式”管理现状及分析  

Analysis of the status and risk factors of “3-1 mode” management of type 2 diabetes

作　　者：魏君[1] 苏银霞 李豫凯[3] 朱筠[4] 王淑霞 王育珊 孙高峰[5] 周红 姚华[4] WEI Jun;SU Yinxia;LI Yukai;ZHU Jun;WANG Shuxia;WANG Yushan;SUN Gaofeng;ZHOU Hong;YAO Hua(School of Public Health,Xinjiang Medical University;Institute of Health Management,Xinjiang Medical University;Xinjiang Medical University,Urumqi 830011,China;The First Affiliated Hospital,Xinjiang Medical University,Urumqi 830054,China;Xinjiang Urumqi Disease Prevention and Control Cente,Urumqi 830001,China;Center for Disease Control and Prevention,Urumqi 830011,China)

机构地区：[1]新疆医科大学公共卫生学院,乌鲁木齐830011 [2]新疆医科大学健康管理院,乌鲁木齐830011 [3]新疆医科大学,乌鲁木齐830011 [4]新疆医科大学第一附属医院,乌鲁木齐830054 [5]新疆乌鲁木齐市疾病预防控制中心,乌鲁木齐830001 [6]新疆乌鲁木齐市新市区疾病预防控制中心,乌鲁木齐830011

出　　处：《新疆医科大学学报》2018年第6期774-776,780,共4页Journal of Xinjiang Medical University

基　　金：新疆维吾尔自治区重点研发计划项目(2016B03048)

摘　　要：目的评价乌鲁木齐市新市区实施"三一模式"(医院-社区-体化)管理2型糖尿病患者(T2DM)的效果。方法对乌鲁木齐市新市区2017年3-9月已经成功建档并参与"三一模式"管理的7 872名2型糖尿病患者,随访6个月,知晓其管理的现状,并对建档时、3个月、6个月随访结果的血糖、血脂和血压指标进行分析。结果 7 872例研究对象中随访失访321人,T2DM研究人群中合并高血压的有3 067名,占总人群的40.62%。自建档至3个月以及6个月的随访结果显示,FBG与2 h PBG差异有统计学意义(P<0.01),血糖管理降糖有效;SBP、TG、HDL-C水平差异有统计学意义(P<0.05),DBP、TC、LDL-C水平差异无统计学意义(P>0.05),收缩压管理有效,血脂管理效果不明显。一周运动>4次,每次运动时间>30min,以及不吸烟为随访结果满意的保护因素,主食摄入量>200g为危险因素。结论医院-社区一体化管理2型糖尿病在乌鲁木齐市新市区有效,可为后续实施该模式提供合理指导。Objective To implement the model of Trinity（hospital-community integration）in the new urban area of Urumqi to manage type 2 diabetes patients and analyze the management results.Methods A total of 7 872 patients with type 2 diabetes who successfully documented and participated in the model management in the new urban area from March 2017 to September 2017 were followed up for 6 months.The current status of their management was known and the laboratory results were analyzed.Results A total of 7 872 subjects were enrolled and 321 were lost to follow-up at this follow-up.Among the study population complications,3 067 were associated with hypertension,accounting for 40.62% of the total population.Stage-by-phase comparison：Results of blood glucose,blood pressure,and blood lipid correlation showed that blood glucose management was effective（FBG and 2 hPBG,P〈0.01）,systolic blood pressure was different,management was effective（SBP,P〈0.05）,and lipid management was not effective（TG,HDL-C,P〈0.05）.The results of the risk factors analysis of the follow-up results showed that the exercise was performed more than 4 times a week and the exercise time was 〉30 minutes;and no smoking was a satisfactory protective factor for follow-up results.The intake of the staple food was〉200 g as a risk factor.Conclusion The hospital-community integrated management of type 2 diabetes is effective in the new urban area of Urumqi.It provides reasonable guidance for the follow-up implementation of the model.

关 键 词：2型糖尿病 医院-社区-体化 分析 

分 类 号：R97[医药卫生—药品] R58[医药卫生—药学]