摘要
目的探讨糖尿病分阶段达标管理模式(staged diabetes target management,SDTM)对2型糖尿病胰岛素泵强化治疗后的影响。方法以2019年3月—2020年3月本院内分泌科54例接受胰岛素泵强化治疗的2型糖尿病住院患者为研究对象,随机分为两组。试验组27例,患者出院后通过SDTM系统追踪管理;对照组27例,患者出院后常规门诊复诊。比较观察两组干预前及干预后3、6、9个月时空腹血糖(fastingblood-glucose,FPG)、餐后2 h血糖(2 hPG)与糖化血红蛋白(HbA1c)水平,评价干预效果。结果试验组干预后3个月时FPG(6.90±1.14)mmol/L,2 hPG(10.02±1.67)mmol/L,HbA1c(6.89±0.91)%,6个月时FPG(6.15±1.02)mmol/L,2 hPG(8.86±1.40)mmol/L,HbA1c(6.26±0.85)%,9个月时FPG(5.83±0.96)mmol/L,2 hPG(8.23±1.24)mmol/L,HbA1c(5.85±0.90)%,各项指标均优于对照组(P<0.05)。干预后3、6、9个月时,试验组血糖达标率分别为37.04%、77.78%、100%,均高于对照组(P<0.05)。结论2型糖尿病胰岛素泵强化治疗后对患者进行SDTM系统管理,可以有效提高血糖控制效果,促进血糖达标。
Objective To explore the effect of staged diabetes target management(SDTM) on type 2 diabetes with intensive insulin pump therapy. Methods From March 2019 to March 20 20, 54 inpatients with type 2 diabetes who received intensive insulin pump therapy in the Department of Endocrinology of our hospital were selected as the research objects. They were randomly divided into two groups. In the experimental group, 27 patients were tracked and managed by SDTM system after discharge, while in the control group, 27patients received routine outpatient follow-up after discharge.The levels of FPG, 2 hPG and HbA1c before and 3, 6, 9 months after intervention were compared between the two groups.Results After intervention, FPG( 6.90 ± 1.14) m m o l/L, 2hPG(10.02±1.67) mmol/L, HbA1c(6.89±0.91)% at 3 months,FPG(6.15±1.02) mmol/L, 2 hPG(8.86±1.40) mmol/L, HbA1c(6.26 ± 0.85) % a t 6 months, FPG(5.83±0.96) mmol/L, 2 hPG(8.23±1.24) mmol/L, HbA1c( 5.85 ± 0.90) % at 9 months in the experimental group, were better than those in the control group(P < 0.05). At 3, 6, 9 months after intervention, the blood glucose control rate of the experimental group were 37.04%,77.78% and 100% respectively, which were higher than those of the control group(P < 0.05). Conclusion After intensive insulin pump treatment of type 2 diabetes, SDTM system management can effectively improve the effect of blood glucose control and promote blood glucose reaching the standard.
作者
杨召娣
刘婷
王丽娟
陈继芳
陈敏
YANG Zhaodi;LIU Ting;WANG Lijuan;CHEN Jifang;CHEN Min(Department of Endocrinology,Jurong Branch of Jiangsu Provincial People's Hospital,Jurong Jiangsu 212400,China)
出处
《中国卫生标准管理》
2022年第4期160-164,共5页
China Health Standard Management
基金
句容市民生科技计划项目(SF2019176919)。
关键词
2型糖尿病
胰岛素泵
强化治疗
SDTM系统
血糖
达标率
type 2 diabetes mellitus
insulin pump
intensive treatment
SDTM system
blood glucose
control rate
