MMC管理对不同治疗方案初发2型糖尿病患者疗效的影响  

Impact of MMC Management on Patients with Newly Diagnosed Type 2 Diabetes Under Different Treatment Regi⁃mens

作　　者：许婧[1] 傅瑜 马慧芳 王忠超[2] 佟媛媛[1] 朱东 赵丹丹 张晓莉[1] 卞春芳 马富兵 XU Jing;FU Yu;MA Hui-fang;WANG Zhong-chao;TONG Yuan-yuan;ZHU Dong;ZHAO Dandan;ZHANG Xiao-li;BIAN Chun-fang;MA Fu-bing(Hospital of the Fourth Division of Xinjiang Production and Construction Corps,Yining,Xinjiang 835000;Qingdao University,Qingdao,Shandong 266071,China)

机构地区：[1]新疆生产建设兵团第四师医院,新疆伊宁835000 [2]青岛大学,山东青岛266071

出　　处：《湖北医药学院学报》2025年第2期194-197,共4页Journal of Hubei University of Medicine

基　　金：新疆生产建设兵团第四师可克达拉市2023科技专项(2023GG28);青岛大学医疗集团科研项目2023科技专项(YLJT20232014)。

摘　　要：目的:对比MMC规范化管理下不同诊疗方案对初发2型糖尿病的疗效及缓解率。方法:选取初发2型糖尿病患者100例,在其住院期间完善HBAC1、血压、BMI、基础血糖等检查。出院后依据降糖方案,分为常规治疗组及强化治疗组,之后采取MMC标准化诊疗模式,并于治疗后3月、6月在MMC定期随访,记录BMI、HBAC1、血糖及血压等指标,进行统计分析。结果:与初诊时血糖相比,3个月和6个月后复查血糖水平均呈明显下降趋势(P<0.001),且强化治疗组血糖下降趋势好于常规治疗组;与初诊时BMI相比,3个月后和6个月后复查的BMI呈明显下降趋势(P<0.05),且强化治疗组BMI均低于常规治疗组,差异有统计学意义(P<0.05);6个月后,常规治疗组患者缓解率为16%,显著低于强化治疗组的36%(P<0.05)。结论:对初发2型糖尿病患者实施MMC管理可以有效实现患者自我管理,并且对患者进行MMC管理下强化治疗,可以更有效地控制患者的血糖水平。Objective To compare the efficacy and remission rate of different diagnosis and treatment schemes under the standardized management of MMC for newly diagnosed type 2 diabetes.Methods A total of 100 patients with newly diag⁃nosed type 2 diabetes were selected.During hospitalization,assessments were conducted,including HbA1c,blood pres⁃sure,BMI,and fasting blood glucose.After discharge,patients were divided into a conventional treatment group and an in⁃tensive treatment group based on their hypoglycemic regimen.Following this,the standardized diagnosis and treatment mode of MMC was adopted,and patients were followed up at 3 months and 6 months after treatment.Various indices such as BMI,HbA1c,blood glucose,and blood pressure were recorded for statistical analysis.Results Compared with the condi⁃tions at the initial diagnosis,blood glucose at the 3-month and 6-month follow-ups had a decrease(P<0.001),with the intensive treatment group demonstrating a more favorable reduction in blood glucose than the conventional treatment group.Additionally,BMI at the 3-month and 6-month follow-ups exhibited a decline(P<0.05),with the intensive treatment group having a lower BMI than the conventional group(P<0.05).After 6 months,the remission rate in the conventional treatment group was 16%,lower than the 36%in the intensive treatment group(P<0.05).Conclusion The MMC manage⁃ment in patients with newly diagnosed type 2 diabetes effectively empowers patients to engage in self-management.Further⁃more,intensive treatment under MMC management leads to better effective control of blood glucose among these patients.

关 键 词：MMC管理 初发2型糖尿病 疗效 缓解率 

分 类 号：R587.1[医药卫生—内分泌]