社区信息化健康档案建立在2型糖尿病视网膜病变防治中的应用  

Application of community inf ormation health record construction in the prevention and treatment of type 2 diabetic retinopathy

作　　者：吴真祎 彭涛[1] 谢美娜[1] 沈秋华[1] WU Zhenyi;PENG Tao;XIE Meina;SHEN Qiuhua(Department of Ophthalmology, Zhejiang Provincial Corps Hospital of Chinese People's Armed Police Force, Jiaxing 314000, China)

机构地区：[1]武警浙江省总队医院眼科

出　　处：《中国现代医生》2019年第15期80-83,共4页China Modern Doctor

基　　金：浙江省嘉兴市科技计划项目(2017AY33063)

摘　　要：目的分析社区信息化健康档案建立在2型糖尿病视网膜病变防治中的应用。方法将我院2017年1月~2018年1月收治的107例2型糖尿病视网膜病变患者作为研究对象。自2017年6月起,我院对患者建立社区信息化健康档案。观察患者合理饮食、规律运动、遵医用药、血糖监测等自我管理行为指标,空腹血糖(FPG)、餐后2h血糖(2hPG)、糖化血红蛋白(HbA1c)、膀胱活动低下(UAb)、血压达标、三酰甘油(TCH)达标及高密度脂蛋白胆固醇(HDL)达标及视网膜病变进展情况。结果实施后,患者合理饮食、规律运动、遵医用药、血糖监测等自我管理行为评分与实施前相比,其指标得分明显高于实施前,实施前后差异具有统计学意义(P<0.05)。实施后,患者FPG、2hPG、HbA1c、UAb异常指标明显低于实施前,而血压达标、TCH达标、HDL达标明显高于实施前,实施前后差异具有统计学意义(P<0.05);实施前后BMI达标及TG达标无显著差异(P>0.05)。实施前后,患者Ⅰ~Ⅳ期视网膜病变进展情况无显著差异(P>0.05)。结论社区信息化健康档案建立在2型糖尿病视网膜病变防治中效果显著,可明显改善患者自我管理行为,降低FPG、P2hPG等血糖水平,提高血压、TCH、HDL达标率,安全可靠,在临床中值得推广应用。Objective To analyze the application of community information health record construction in the prevention and treatment of type 2 diabetic retinopathy. Methods 107 patients admitted in our hospital from January 2017 to January 2018 were enrolled in the study. Since June 2017, our hospital has established community information health records for patients. The self-management behavior indicators such as reasonable diet, regular exercise, compliance with medical drugs, blood glucose monitoring, fasting blood glucose(FPG), postprandial 2h blood glucose(2hPG), glycosylated hemoglobin(HbA1c), low bladder activity(UAb), blood pressure compliance, triacylglycerol(TCH) compliance and high-density lipoprotein cholesterol(HDL) compliance and progression of retinopathy were observed. Results After implementation, the scores of self-administration behaviors such as reasonable diet, regular exercise, compliance with medical drugs, and blood glucose monitoring were significantly higher than those before implementation, and the difference was statistically significant(P<0.05). After implementation, the abnormal indexes of FPG, 2hPG, HbA1c and UAb were significantly lower than those before implementation, and the blood pressure compliance, TCH compliance and HDL compliance were significantly higher than those before implementation. The difference was statistically significant(P<0.05). There was no significant difference in BMI compliance and TG scompliance before and after implementation(P>0.05). There was no significant difference in the progression of stage Ⅰ-Ⅳ retinopathy before and after implementation(P>0.05). Conclusion The community information health record construction is effective in the prevention and treatment of type 2 diabetic retinopathy. It can significantly improve the self-management behavior of patients, reduce the blood glucose levels such as FPG and 2hPG, improve the compliance rate of blood pressure, TCH and HDL. It is safe and reliable and worthy of promotion and application in clinical practice.

关 键 词：健康档案 2型糖尿病 视网膜病变 自我管理 

分 类 号：R587.2[医药卫生—内分泌] R774.1[医药卫生—内科学]