摘要
【目的】探讨本院非内分泌科住院糖尿病会诊病例的临床特点及用药情况。【方法】收集2020年7月至2020年12月本院内分泌科会诊的全院糖尿病病例资料,分析患者的临床特点及用药情况。【结果】纳入本研究的会诊糖尿病病例共702例,其中手术科室139例,非手术科室563例,会诊量最大科室为心内科。会诊患者中行外科手术86例,行血管造影57例,介入手术67例;感染使用抗生素115例,使用糖皮质激素25例;肝功能不全24例,肾功能不全54例,高甘油三酯血症37例;低血糖21例。会诊后单用口服降糖药303例,单用胰岛素163例,口服降糖药联合胰岛素181例,会诊后无降糖方案(单纯进行饮食及运动教育)55例。非手术科室单用口服降糖药物的比例高于手术科室(P<0.05),单用胰岛素及胰岛素强化降糖方案的比例均低于手术科室(P<0.05)。会诊后,口服药物降糖方式中以两种药物联合最多,药物种类上以二甲双胍使用率最高;胰岛素降糖方案中以强化方案最多,胰岛素种类以基础胰岛素使用率最高。【结论】糖尿病会诊患者中非手术科室以口服降糖药物治疗为主,手术科室以胰岛素治疗为主。各科室会诊患者合并不同的特殊状态,选择降糖药物的侧重点也各不相同。深入了解糖尿病会诊患者的诊疗特点,对提高综合医院糖尿病诊治水平具有重要意义。
【Objective】To summarize and analyze the clinical characteristics and medication of inpatients with diabetes in non-endocrinology department of our hospital.【Methods】The data of inpatient diabetes cases consulted by endocrinology department from July 2020 to December 2020 in our hospital were statistically analyzed.【Results】A total of 702 cases of consultation in the study included 139 cases from surgical departments and 563 cases from non-surgical departments.The department with the largest consultation volume was cardiology department.Among the consultation patients,86 cases underwent surgical operation,57 cases underwent angiography and 67 cases underwent interventional operation,115 cases were infected and treated with intravenous antibiotics,25 cases were treated with glucocorticoids.There were 24 cases with hepatic insufficiency,54 cases with renal insufficiency,37 cases with hypertriglyceridemia,and 21 cases with hypoglycemia.After consultation,303 cases were treated with oral hypoglycemic drugs alone,163 cases with insulin alone and 181 cases with oral hypoglycemic drugs combined with insulin,and 55 cases had no hypoglycemic program after consultation(only diet and exercise education).The proportion of oral hypoglycemic drugs used alone in non-surgical departments was higher than that in surgical departments(P<0.05),and the proportion of insulin used alone in surgical departments was higher than that in non-surgical departments(P<0.05).After consultation,the combination of two drugs was the most common used in oral hypoglycemic drugs,and the usage of metformin was the highest among drug types.The intensive regimen was the most used in insulin hypoglycemic programs,and the usage rate of basal insulin was the highest among insulin types.【Conclusion】Diabetic consultation patients were mainly treated with oral hypoglycemic drugs in non-surgical departments,while insulin treated was mainly used in surgical departments.The emphasis of hypoglycemic drugs selection was different in different depart
作者
和一之
张薇
韩斐斐
雷雨欣
刘萍
HE Yi-zhi;ZHANG Wei;HAN Fei-fei(Department of Endocrinology,Xi'an No.3 Hospital,the Affiliated Hospital of Northwest University,Xi'an Shaanxi 710018)
出处
《医学临床研究》
CAS
2023年第5期656-660,共5页
Journal of Clinical Research
基金
陕西省重点研发计划项目(2021SF-277)。
关键词
糖尿病
住院病人
处方药
Diabetes Mellitus
Inpatients
Prescription Drugs
