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目的通过此次糖尿病诊治情况调查,了解乌兰察布地区糖尿病诊治现状,制定适合我地区实际情况的治疗方案,提高糖尿病患者治疗质量,节约成本。方法患者采取自愿参加的方式,共调查335名糖尿病患者,依据2010年版《中国2型糖尿病诊治指南》,结合糖尿病患者的具体情况,为患者制定合理的治疗方案,分别于治疗后12周、24周观察效果。结果调查发现糖尿病患者HbA1c达标率仅占19.40%,合并高血压138例占41.19%。接受过不正规或未接受过糖尿病教育者208例占62.19%。经过正规治疗12周后HbA1c达标率为36.72%,治疗24周后HbA1c达标率为56.33%,差异有统计学意义。血脂、血压也有明显改善。结论糖尿病只要正规治疗在经济较落后的地区也能将HbA1c达标率提高到与经济较发达的城市相一致的水平。
Objective To investigate the status of diagnosis and treatment of diabetes in Wulanchabu region through the investigation of the diagnosis and treatment of diabetes mellitus, to make the treatment plan suitable for the actual situation in our region, to improve the treatment quality and cost saving of patients with diabetes mellitus. Methods A total of 335 patients with diabetes mellitus were enrolled in this study. Based on the 2010 edition of Guide to Diagnosis and Treatment of Type 2 Diabetes in China and the specific conditions of patients with diabetes, a reasonable treatment plan was developed for patients with diabetes. Twelve weeks after treatment, 24 Week observation effect. Results The survey found that HbA1c compliance rate of diabetic patients accounted for only 19.40%, 138 cases of hypertension accounted for 41.19%. 208 cases received irregular education or did not receive diabetes education accounted for 62.19%. After 12 weeks of regular treatment, the compliance rate of HbA1c was 36.72%. The compliance rate of HbA1c after 24 weeks of treatment was 56.33%, the difference was statistically significant. Blood lipids, blood pressure has also been significantly improved. Conclusion As long as regular treatment of diabetes in the more economically backward areas HbA1c compliance rate can be raised to the same level with the more economically developed cities.