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| 2型糖尿病临床路径式管理探索 | |
| 引用本文： | 陈黎, 鹿文英. 2型糖尿病临床路径式管理探索[J]. 上海预防医学, 2013, 25(6): 302-305. |
| 作者姓名： | 陈黎 鹿文英 |
| 作者单位： | 1.上海市浦东新区塘桥社区卫生服务中心, 上海 200127 |
| 摘 要： | [目的]评价临床路径的方法在社区2型糖尿病管理中的效果。[方法]将 |
| 关 键 词： | 糖尿病 临床路径 管理 |
| 收稿时间： | 2013-03-04 |
Clinical pathway management of type 2 diabetes |
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| CHEN Li, LU Wen-ying. Clinical pathway management of type 2 diabetes[J]. Shanghai Journal of Preventive Medicine, 2013, 25(6): 302-305. | |
| Authors: | CHEN Li LU Wen-ying |
| Affiliation: | 1.Tangqiao Community Health Service Center, Shanghai 200127, China |
| Abstract: | [ Objective ] To assess the effect of the clinical pathway used in community management of type 2 diabetes. [ Methods ] The ＇ clinical pathway＇ idea was introduced into community management of diabetes, with the aim to realizing standardization and informationization for prevention and control of diabetes. And the effect evaluation was done on the control level of main diabetes indexes as fasting blood glucose, HbAI c and others. [ Results ] The mean fasting blood glucose and systolic blood pressure in 2012 were decreased as compared with those in 2011, being reduced by （0.28 ± 2.72 ）/L （ P 〈 0.05） and （1.58 ± 1.58） mmHg（P 〈 0. 05）,respectively. But the mean diastolic blood pressure in 2012 was higher by { 1.25 ± 8.88 ） mmHg （ P 〈 0.05 ） than that in 2011. Stratified analysis showed the patients with HbAlc higher than normal had the mean fasting blood glucose and HbAlc in 2012 lower than that in 2011, lower by （ 1.49 ± 3.02 } mmol/L （ P 〈 0.05 ） and （ 1.22±1.56 ） mmol/L （ P 〈 0.05 ）. But the patients with normal HbAlc had the mean fasting blood glucose and HbAlc in 2012 higher than that in 2011 ,higher by （0.38 ± 2.29 } mmol/L （ P 〈 0.05 ） and （ 0.63 ± 1.23 ） mmol/L （ P 〈 0.05 ）. It had statistical signifi- cance. The rest of the indicators did not have statistical significance for two years （ P 〉 0. 05 ）. [ Conclusion] Clinical pathway plays a positive role in the community standard management of diabetes and cost control, providing important assistance for GP in their day-to-day health management for diabetics. |
| Keywords: | Diabetes Clinical pathway Management |
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