对血糖未达标患者实施强化管理临床疗效的分析研究

目的评价强化管理对血糖未达标2型糖尿病患者的代谢控制、人体测量学指标的影响。方法将168例常规治疗后糖化血红蛋白水平超过6.5%的2型糖尿病患者随机分为实验组和对照组,各84例。实验组采用强化管理,建立健康管理档案,制定1个月、3个月、9个月目标,包括血压、腰围、体重指数、生化指标、空腹血糖、餐后血糖、糖化血红蛋白等,并定期电话、家访、发短信、举办联谊会进行患者互动。对照组采用常规糖尿病健康教育电话随访。比较两组干预前和实施追踪管理9个月后的血压、腰围、体重指数、血糖、血脂、糖化血红蛋白的变化。结果干预后两组血压、腰围、体重指数较干预前显著下降,有显著性差异(P<0.05);两组血压、腰围、体重指数、空腹血糖、餐后血糖和糖化血红蛋白水平比较有显著性差异(P<0.05)。结论实施强化管理模式能显著提高2型糖尿病患者的临床疗效。

For people with diabetes implement contract type tracking management the analysis of the clinical curative effect

Objective To evaluation tracking management not done on blood sugar levels in patients with type 2 diabetes patients with the metabolic control, human body measure influence on the quality of learning. Method 168 cases of conventional treatment glycated hemoglobin levels more than 6.5 of type 2 diabetes patients were randomly divided into tracking management group （the experimental group, 84 cases） and conventional diabetes education management group health （control group, 84 cases） two groups. Experimenters group by fixed liability first organizes to nurse to diabetes patients to set up health management files, according to the treatment of patients with diabetes process for a month, three months, nine months goals include blood pressure,waist, body mass index, biochemical index, fasting blood sugar, blood glucose after a meal, glyeated hemoglobin, etc and regularly call, the family visit, text messaging, held for patients association interactions. The control group only accept regular diabetes health education phone follow-up. Evaluation with before and imple- ment tracking management after nine months of blood pressure, waist, body mass index, blood glucose, blood fat and glycated hemoglobin changes. Results After intervention, two sets of patients blood pressure, waist, body mass index, compared with before decreased significantly, the difference was statistically significant （P 〈0. 05） At the same time, the experimental group of patients with blood pressure, waist, body mass index, fasting blood sugar, blood glucose after a meal andglycated hemoglobin levels significantly lower than the control group, were statistically significant difference （P〈 0. 05）. Conclusion Implement contract type tracking management mode can significantly improve in type 2 diabetes patients for clinical curative effect.