社区规范化管理对糖尿病治疗效果的影响

目的探讨社区规范化管理对糖尿病I临床治疗效果的影响。方法80例糖尿病患者随机分为社区管理组和常规管理组，分别给予糖尿病社区强化管理和常规管理，连续进行3个月，观察比较两组空腹血糖（FBG）、餐后2h血糖（2hPG）、糖化血红蛋白（HbAIc）水平及3个月药品费用。结果管理3个月后，社区管理组FBG（6．82±1．23）mmol／L、2hPG（9．51±2．18）mmol／L、HbAlc（7．52±1．31）％、药费（621．5±204．5）元均明显低于常规管理组（8．65±2．31）mmol／L、（12．22±3．11）mmol／L、（10．32±3．51）％、（796．5±240．6）元]（t=3．12、3．25、3．56、3．69，均P〈0．05）。结论社区规范化管理有利于糖尿病患者控制血糖，降低医疗费用。

The mode and effect of intensive standard community management of diabetes

Objective To explore the ways to strengthen the mode and effect of the standard community management of the diabetes,and the management model of diabetic mellitus that adopt to current situation of China.Methods 80 diabetics patients were divided into intensive group and common group,and the period of the treatment is three consecutive months.We observed the levels of FBG,2hPG,HbA1c and the cost of drugs.Results The levels of FBG(6.82 ± 1.23),2hPG(9.51 ± 2.18)mmol/L]and HbA1c(7.52 ± 1.31)％ in intensive group were significantly lower than common group(8.65 ± 2.31)mmol/L、(12.22 ± 3.11)mtmol/L,(10.32 ± 3.51)％](t =3.12,3.25,3.56,3.69,all P ＜ 0.05).The cost of drugs in intensive group(621.5 ± 204.5)yuan]was significantly lower than common group(796.5 ± 240.6)yuan](t =3.69,P ＜ 0.05).Conclusion The ways to strengthen the mode could spend less but control disease well,and improving the existing community diabetes management should be truly effective in reducing medical costs.