微信网络平台管理对糖尿病患者血糖控制的意义  

Significance of WeChat Network Platform Management for Glycemic Control in Diabetic Patients

作　　者：郑国红[1] 周敏[1] 袁艳梅 许玄 ZHENG Guo-hong;ZHOU Min;YUAN Yan-mei;XU Xuan(Department of Endocrinology,the Second Affiliated Hospital of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第二附属医院内分泌代谢科

出　　处：《实用临床医学（江西）》2019年第11期72-74,77,共4页Practical Clinical Medicine

摘　　要：目的探讨微信网络平台在糖尿病血糖控制中的作用优势。方法选取2017年12月至2018年12月住院的糖尿病患者106例为研究对象,根据随机数字表法将其分为对照组53例和干预组53例,出院后对照组患者接受常规健康教育;干预组在对照组基础上纳入微信群进行微信系统化管理。3个月后来院复查,比较2组患者干预前后空腹血糖(FBG)、餐后2 h血糖(PBG)、糖化血红蛋白(HbA1c)水平及低血糖发生率。结果干预前2组FBG、PBG、HbA1c和低血糖发生率比较差异无统计学意义(均P>0.05)。干预后2组患者FBG、PBG、HbA1c均有下降,且干预组下降更显著(均P<0.05);干预后干预组患者的低血糖发生率明显低于对照组(P<0.05)。结论利用现代移动通讯手段对糖尿病患者进行微信网络平台系统化管理,能极大地发挥糖尿病健康教育的优势,更好地控制患者血糖,有效地降低FBG、PBG、HbA1c,减少低血糖发生率,是一种经济、便捷、有效的健康管理模式。Objective To explore the advantages of WeChat network platform in glycemic control.Methods A total of 106 diabetic patients admitted to hospital from December 2017 to December 2018 were randomly divided into control group and intervention group,with 53 patients in each group.Both groups received routine health education.Additionally,the intervention group was given systematic WeChat management.After 3 months,the levels of fasting blood glucose(FBG),2-hour postprandial blood glucose(PBG)and glycosylated hemoglobin(HbA1c)and the incidence of hypoglycemia were compared between the two groups.Results There were no significant differences in the levels of FBG,PBG and HbA1c and the incidence of hypoglycemia between the two groups before intervention(P>0.05).After intervention,the levels of FBG,PBG and HbA1c decreased in both groups,and the decrease in intervention group was more obvious than that in control group(P<0.05).Furthermore,the incidence of hypoglycemia in intervention group was lower than that in control group(P<0.05).Conclusion As an economical,convenient and effective health management mode,the modern WeChat network platform management can greatly exert the advantages of health education,provide better control of blood glucose,reduce FBG,PBG and HbA1c levels and decrease the incidence of hypoglycemia in patients with diabetes mellitus.

关 键 词：糖尿病 微信网络平台 健康教育 血糖 

分 类 号：R473.5[医药卫生—护理学]