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目的了解糖尿病综合性强化管理对改善患者各项代谢指标控制状况的影响。方法比较我科电子病历库中1 367例坚持随访患者与281例失访患者首次就诊时以及当前状态下的血糖、血脂、糖化血红蛋白 (HbA1 c)及体重指数(BMI)等资料,了解两组患者各项指标的控制情况。结果随访组患者HbA1 c和血压的控制达标率明显好于失访组(P<0．05),随访组患者空腹血糖、餐后2 h血糖、HbA1 c、血脂及BMI的下降幅度均显著大于失访组(P<0．05),两组血脂的差异无显著性(P>0．05)。结论个体化、综合的糖尿病管理模式的实施可以明显改善患者各项代谢指标的控制情况。
Objective To understand the impact of intensive management of diabetes on the improvement of the control of various metabolic parameters in patients. Methods The data of blood glucose, blood lipid, HbA1c and body mass index (BMI) of 1 367 follow-up patients and 281 patients who lost their follow-up at the first visit and in our current state were compared. Patient control of the indicators. Results The compliance rate of HbA1c and blood pressure in the follow-up group was significantly better than that in the follow-up group (P <0.05). The fasting blood glucose, postprandial blood glucose, HbA1c, blood lipid and BMI in the follow-up group were significantly lower than those in the follow- Lost in the group (P <0.05), there was no significant difference between the two groups (P> 0.05). Conclusion The implementation of individualized and integrated diabetes management model can significantly improve the control of various metabolic parameters in patients.