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目的探讨慢性病联合门诊管理模式对控制2型糖尿病的效果。方法在3个乡镇卫生院成立由县级医院专科医师与卫生院全科医师组成的慢性病联合门诊,对辖区735例2型糖尿病患者综合管理1年,观察糖尿病患者在慢性病联合门诊工作开展前后空腹血糖(FBG)、餐后2小时血糖(2 h BG)、糖化血红蛋白(Hb A1c)、血压、血脂和BMI等指标。结果在设立慢性病联合门诊干预1年后,735例患者糖尿病控制指标值除LDL、BMI外,FBG、2 h BG、SBP、DBP、TG和Hb A1c均值均有降低,差异有统计学意义(P<0.01)。糖尿病患者FBG、2 h BG、SBP、DBP、TG和Hb A1c的达标率均有明显提高,差异有统计学意义(P<0.05)。结论慢性病联合门诊管理模式是提高农村2型糖尿病控制率的有效途径。
Objective To explore the effect of chronic outpatient management on the control of type 2 diabetes mellitus. Methods A joint clinic of chronic diseases consisting of county-level hospital specialists and general practitioners of hospitals was set up in 3 township hospitals, and 735 cases of type 2 diabetes were comprehensively managed in the area for one year. Diabetes patients were observed before and after the work on chronic diseases combined with fasting FBG, 2-hour postprandial blood glucose (2 h BG), Hb A1c, blood pressure, blood lipid and BMI. Results One year after the establishment of the chronic disease outpatient clinic, the mean values of FBG, 2 h BG, SBP, DBP, TG and Hb A1c in 735 patients with diabetes mellitus were significantly lower than those in LDL and BMI (P <0.01). The compliance rates of FBG, 2 h BG, SBP, DBP, TG and Hb A1c in diabetic patients were significantly increased (P <0.05). Conclusion Chronic disease outpatient management is an effective way to improve the control rate of type 2 diabetes in rural areas.