不同血糖监测频次对住院2型糖尿病患者医疗花费及血糖控制情况的调查研究

目的：探讨住院T2DM患者不同血糖监测频次对住院天数、医疗花费及血糖控制情况方面的影响。方法随机选取在我院住院治疗的T2DM患者1000例,根据住院期间血糖监测频数,分为5点血糖监测组和7点血糖监测组。所有患者在空腹血糖≤7.0mmol/L,餐后血糖＜10.0mmol/L,血糖平稳2d后出院。比较两组患者住院天数、医疗花费及血糖控制情况方面的不同。结果7点血糖监测组患者较5点血糖监测组住院天数明显缩短、总住院费用、药品费用、治疗费用明显降低（P＜0.05）,但两组患者检查化验费用及日治疗费用差异无统计学意义（P＞0.05）。在血糖控制方面,7点血糖监测组较5点血糖监测组可以更有效地控制血糖平稳达标,减少血糖波动。结论住院T2DM患者每日7点血糖监测明显缩短住院天数、降低住院花费,有效控制血糖,减少血糖波动。

Investigation of the different frequency of blood glucose monitoring for medical cost and glycemic control in hospitalized patients with T2DM

Objective To investigate the effect of frequency of blood glucose monitoring on the number of days of hospitalization, medical costs and glycemic control in hospitalized patients with T2DM. Methods 1000 patients with T2DM patients were randomly selected in our hospital, according to the number of daily monitoring of blood glucose during hospitalization, blood glucose monitoring group divided 5 and 7 point blood glucose monitoring group. Two groups patients received lifestyle intervention guidance and regular hypoglycemic therapy, all patients in the FPG ≤ 7.0mmol/L, PPG 0.05）. In glycemic control, 7 point glucose monitoring groups can more effectively control blood sugar steady and compliance, reduce the incidence of hypoglycemia. Conclusion Daily 7 point glucose monitoring in hospitalized patients with T2DM can significantly shorten the length of hospital stay, reduce hospital spending, effectively control blood sugar and reduce the incidence of hypoglycemia.