“龙头医院辐射基层健康管理模式”下的2型糖尿病患者代谢控制状况的分析  

Analysis of metabolic control status in patients with type 2 diabetes under the“leading hospital outreach health management model”

作　　者：刘贝贝 朱红斌[1] 仲丽娟[1] 杨柳[1] 贲曙萍[1] LIU Beibei;ZHU Hongbin;ZHONG Lijuan;YANG Liu;BEN Shuping(Department of Endocrinology,Dongtai People's Hospital,Dongtai 224220 China)

机构地区：[1]东台市人民医院内分泌科,江苏东台224220

出　　处：《现代医学》2024年第5期732-737,共6页Modern Medical Journal

基　　金：盐城市卫健委指导性项目(YK2019083)。

摘　　要：目的:探讨实施“龙头医院辐射基层健康管理模式”(简称辐射管理模式)对东台市乡镇2型糖尿病(T2DM)患者糖代谢控制的影响及其应用效果。方法:选择2020年9月至2022年9月在我院住院治疗的T2DM患者200例作为研究对象,分为对照组和研究组(各100例)。对照组采用常规护理模式,研究组采用辐射管理模式。分别收集入组前、入组半年和入组1年的空腹血糖(FBG)、餐后2 h血糖(2hPG)、糖化血红蛋白(HbA1c)、低血糖次数、血糖监测次数、并发症筛查情况及治疗率等指标。结果:两组患者入组前的一般资料比较,差异无统计学意义。入组半年和入组1年后,研究组患者血清FBG、2hPG、HbA1c水平和低血糖次数均低于对照组,监测血糖次数高于对照组(P<0.05)。入组半年和入组1年后,研究组患者在不同随访时点(每季度、每半年、超1年)并发症筛查比例和治疗比例均高于对照组(P<0.05)。结论:辐射管理模式可明显提高T2DM患者的治疗依从性和血糖控制率。Objective:To explore the effect of radiation primary health management mode in leading hospitals(hereinafter referred to as radiation management mode)on glucose metabolism control in type 2 diabetes mellitus(T2DM)patients in Dongtai City.Methods:A total of 200 T2DM patients hospitalized in our hospital from September 2020 to September 2022 were selected as the study objects and randomly divided into control group and study group(100 cases in each group).The control group adopted the routine nursing mode,the study group adopted the radiation management mode.Collect fasting blood glucose(FBG),postprandial 2-hour blood glucose(2hPG),glycated hemoglobin(HbA1c),episodes of hypoglycemia,number of blood glucose monitoring,screening for complications,and treatment rates before enrollment,half a year after enrollment,and one year after enrollment.Results:There was no statistically significant difference in the general data of patients between the two groups before enrollment.The serum levels of FBG,2hPG,HbA1c and the frequency of hypoglycemia in study group were lower than those in control group for half a year and 1 year after enrollment,and the frequency of monitoring blood glucose was higher than that in control group(P<0.05).After 6 months and 1 year of enrollment,the complication screening ratio and treatment ratio of patients in study group were higher than those in control group at different follow-up time points(quarterly,semi-annual,more than 1 year).Conclusion:The radiation management mode can significantly improve the treatment compliance and glycemic control rate of T2DM patients.

关 键 词：辐射管理模式 2型糖尿病 血糖控制 

分 类 号：R587.1[医药卫生—内分泌]