移动终端APP在2型糖尿病健康管理中的应用效果  

Application effect of mobile terminal APP in the health management of type 2 diabetes mellitus

作　　者：韩世超[1] 常亚南 张晓杰 胡新磊[1] 牛尚梅[1] 井永法 HAN Shichao;CHANG Ya’nan;ZHANG Xiaojie;HU Xinlei;NIU Shangmei;JING Yongfa(Ward 2,Department of Endocrinology,the First Hospital of Handan City,Hebei Province,Handan 056002,China;Department of Emergency,the First Hospital of Handan City,Hebei Province,Handan 056002,China;Handan Health Management Association of Hebei Province,Hebei Province,Handan 056002,China)

机构地区：[1]河北省邯郸市第一医院内分泌二科,河北邯郸056002 [2]河北省邯郸市第一医院急诊科,河北邯郸056002 [3]河北省邯郸市健康管理协会,河北邯郸056002

出　　处：《中国医药导报》2020年第36期87-90,共4页China Medical Herald

基　　金：河北省医学科学研究课题计划项目(20191799)。

摘　　要：目的评价移动终端APP在2型糖尿病(T2DM)健康管理中的应用效果。方法选取2018年1月—12月河北省邯郸市第一医院收治的T2DM患者100例为研究对象,按照随机数字表法分为对照组与观察组,每组50例。对照组实施传统的自我健康管理,观察组利用智能手机下载安装“糖尿病管理”APP,并与医生终端进行连接,实施健康管理。随访12个月后,比较两组空腹血糖(FPG)、餐后2 h血糖(2hPG)、糖化血红蛋白(HbA1c)、低血糖发生率、再住院率及糖尿病相关并发症发生情况。结果整体分析发现:组间比较、时间点比较及交互作用差异均有统计学意义(P<0.05)。两组在不同时间点FPG、2hPG及HbA1c水平的比较,差异有统计学意义(P<0.05)。进一步两两比较,干预后6、12个月,两组的FPG、2hPG及HbA1c水平均较干预前明显降低(P<0.05);干预后6、12个月,观察组FPG、2hPG及HbA1c水平均低于对照组,差异有统计学意义(P<0.05)。观察组低血糖发生率、再住院率及糖尿病相关并发症总发生率均低于对照组,差异有统计学意(P<0.05)。结论移动终端APP在T2DM健康管理中的应用效果显著,能够明显降低并发症,改善血糖水平及预后。Objective To evaluate the application effect of mobile terminal APP in the health management of type 2 diabetes mellitus(T2DM).Methods A total of 100 T2DM patients admitted to the First Hospital of Handan City,Hebei Province from January to December 2018 were selected as the study subjects.According to the random number method,the patients were divided into control group and observation group,50 patients,in each group.The control group implemented traditional self-health management,while the observation group downloaded and installed the“Diabetes management”APP with smart phones and connected it with the doctor’s terminal to implement health management.After 12 months of follow-up,fasting blood glucose(FPG),2-h postprandial blood glucose(2hPG),hemoglobin A1c(HbA1c),incidence of hypoglycemia,rehospitalization rate and diabetes-related complications were compared between the two groups.Results Overall analysis showed that there were statistically significant differences in intergroup comparison,time point comparison and interaction(P<0.05).The differences of FPG,2hPG and HbA1c between the two groups at different time points were statistically significant(P<0.05).Further pairwise comparison and intra-group comparison:6 and 12 months after intervention,FPG,2hPG and HbA1c levels in both groups were significantly lower than those before intervention(P<0.05).At 6 and 12 months after intervention,FPG,2hPG and HbA1c levels in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).The incidence of hypoglycemia,rehospitalization rate and total incidence of diabetes-related complications in the observation group were all lower than those in the control group,with statistically significant differences(P<0.05).Conclusion The application effect of mobile terminal APP in T2DM health management is significant,which can significantly reduce complications,improve blood glucose level and prognosis.

关 键 词：2型糖尿病 移动终端APP 健康管理 应用效果 

分 类 号：R587.2[医药卫生—内分泌]