多学科协作模式对2型糖尿病并发冠心病患者血糖波动及生活质量的影响  

Effects of multidisciplinary collaboration model on blood glucose fluctuation and quality of life in patients with type 2 diabetes mellitus complicated with coronary heart disease

作　　者：延亮 凌青 陈玉红[2] YAN Liang;LING qing;CHEN Yu-hong(Department of Cardiology, Xi'an Hospital of Traditional Chinese Medicine, Xi ′an 710021, Shananxi,China;Department of Cardiothoracic Vascular Surgery, Nanjing Hospital Affiliated to Nanjing MedicalUniversity, Nanjing 210029, Jiangsu, China)

机构地区：[1]西安市中医医院心内科,陕西西安710021 [2]南京医科大学附属南京医院心胸血管外科,江苏南京210029

出　　处：《心脏杂志》2019年第5期529-533,共5页Chinese Heart Journal

基　　金：南京市医学科技发展项目资助(ZKX18031);陕西省中医管理局中医药科研课题资助(LCPT045)

摘　　要：目的探讨多学科协作模式对2型糖尿病并发冠心病患者血糖波动及生活质量的影响。方法选取2017年8月~2018年8月收治的2型糖尿病并发冠心病患者106例为观察对象,按照随机数表法分为常规干预组和多学科协作模式干预组(协作干预组),每组53例,常规干预组采取常规干预治疗,协作干预组采用多学科协作模式干预,比较血糖波动指标日内平均血糖波动幅度(MAGE)、日间血糖平均绝对差(MODD)、平均餐后血糖波动幅度(MPPGE)、最大血糖波动幅度(LAGE);空腹血糖(FPG)、餐后2 h血糖(2hPPG);生活质量;心理状态指标焦虑(SAS)评分、抑郁(SDS)评分;自我感受负担(SPBS)评分、管理满意度。结果干预后,协作干预组MAGE、LAGE、MPPGE、MODD均显著低于常规干预组(均P<0.05);FPG、2hPPG均显著低于常规干预组(均P<0.05);生活质量各维度评分均显著低于常规干预组(P<0.05);SAS、SDS评分低于常规干预组(均P<0.01);SPBS评分显著低于常规干预组(P<0.01);管理满意度高于常规干预组(96%vs. 83%,P<0.05)。结论多学科协作模式能够降低2型糖尿病并发冠心病患者血糖波动程度,提高血糖控制效果,改善患者的生活质量,提高管理满意度。AIM To explore the effect of multidisciplinary cooperation mode on blood glucose fluctuation and quality of life in patients with type 2 diabetes mellitus complicated with coronary heart disease. METHODS 106 patients with type 2 diabetes complicated with coronary heart disease admitted from August 2017 to August 2018 were selected as observation objects. They were divided into conventional intervention group and multidisciplinary cooperative mode intervention group according to random number table method, with 53 cases in each group. Conventional intervention group was treated with conventional intervention while cooperative intervention group was treated with multidisciplinary cooperative mode intervention. The intra-day average blood glucose fluctuation range (MAGE), daily average absolute difference of blood glucose (MODD), average postprandial blood glucose fluctuation range (MPPGE) and maximum blood glucose fluctuation range (LAGE) of blood glucose fluctuation index were compared. Fasting blood glucose (FBPG) and 2 h postprandial blood glucose (2hPPG);Quality of life;Mental state index anxiety (SAS) score and depression (SDS) score;Self-perceived burden (SPBS) score and management satisfaction. RESULTS after intervention, MAGE, lag, MPPGE, MODD in the collaborative intervention group were significantly lower than those in the conventional intervention group (all P < 0.05). FBPG and 2hPPG were significantly lower than those in conventional intervention group (P < 0.05 for both). The scores of all dimensions of quality of life were significantly lower than those of routine intervention group (P < 0.05). SAS and SDS scores were lower than those of routine intervention group (all P < 0.01);SPBS score was significantly lower than that of routine intervention group (P < 0.01). Management satisfaction was higher than that of routine intervention group (96% vs 83%, P < 0.05). CONCLUSION Multidisciplinary cooperation mode reduces blood sugar fluctuation degree of patients with type 2 diabetes complicated with coronar

关 键 词：多学科协作模式 2型糖尿病 冠心病 血糖波动 生活质量 

分 类 号：R587.1[医药卫生—内分泌] R541.4[医药卫生—内科学]