上海市杨浦区2型糖尿病的社区管理情况调查分析

发布时间：2018-06-14 17:03

本文选题：社区医院 + 2型糖尿病　；参考：《上海交通大学》2015年硕士论文

【摘要】：目的:通过调查近三年上海市杨浦社区2型糖尿病患者在糖尿病规范化管理前后的空腹血糖(FBG)、糖化血红蛋白(HBA1C)、血压(BP)、体重指数(BMI)、腰臀比(WHR)变化,评价2型糖尿病患者的病情控制情况,为糖尿病的社区管理工作提供客观资料。方法:在杨浦区随机抽取四平、五角场、五角场镇、大桥四个社区医院,从糖尿病患者管理电子档案中筛选出2011年入组后随访三年,年龄在35-85岁之间,病程小于20年、每年至少随访四次的2型糖尿病患者,对患者每年的FBG、HBA1C、BP、BMI、WHR进行分析比较和评价。结果:管理三年间,总体患者的FBG、HBA1C、舒张压水平每年均较管理前下降(P0.05)。患者收缩压水平在管理后第一、第二年较管理前下降(P0.05),BMI及WHR在管理前后无统计学差异(P0.05)。在同一年龄段,管理三年间患者FBG、HBA1C、舒张压均较管理前下降(P0.05),WHR和BMI管理前后变化差异无统计学意义(P0.05),但是大于80岁年龄段患者收缩压有波动。在不同年龄段之间,除BP外,其余指标之间差异无统计学意义(P0.05)。在同性别中,管理三年间患者FBG、HBA1C、舒张压均较管理前下降(P0.05);腰臀比在男性中2012年较2011年上升,管理三年后2014年女性患者的体重指数较男性高(P0.05)。结论:经过社区糖尿病的规范化管理,2糖尿病患者总体FBG、HBA1C、BP较管理前显著下降,水平稳定,因此2型糖尿病患者社区规范化管理是有效的。
[Abstract]:Objective: to investigate the changes of fasting blood glucose (FBGG), glycosylated hemoglobin (HbA1C), blood pressure (BP), body mass index (BMI) and waist to hip ratio (WHR) of type 2 diabetes mellitus patients in Yangpu community of Shanghai in recent three years before and after the standardized management of diabetes mellitus. To evaluate the condition control of type 2 diabetes mellitus and provide objective data for the community management of diabetes mellitus. Methods: four community hospitals, Siping, Wuchang Town and Bridge, were randomly selected from Yangpu District. The patients were followed up for 3 years after entering the group in 2011. The course of disease was less than 20 years. Patients with type 2 diabetes mellitus were followed up at least four times a year. Results: during the three years of management, the level of diastolic blood pressure (DBP) of total patients with FBGG HBA1C decreased significantly compared with that before management (P 0.05). The systolic blood pressure (SBP) level of the patients was first after management, and decreased in the second year than that before management. There was no significant difference in BMI and WHR between the two groups before and after management. In the same age group, the diastolic blood pressure (DBP) of patients with FBG- HBA1C in three years after management was lower than that before management. There was no significant difference in the changes of WHR and BMI before and after management, but systolic blood pressure fluctuated in patients older than 80 years old. There was no significant difference between the other indexes except BP among different age groups (P 0.05). In the same sex, the diastolic blood pressure of patients with FBGG HBA1Cduring three years of management was lower than that before management, and the waist-to-hip ratio was higher in men in 2012 than in 2011. After three years of management, the body mass index of female patients was higher than that of men in 2014. Conclusion: through the standardized management of diabetes mellitus in community, the total FBGN HBA1CU BP of diabetes patients decreased significantly and the level was stable, so the community standardized management of type 2 diabetes patients was effective.
【学位授予单位】：上海交通大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R587.1

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