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目的:为探讨提高西宁地区2型糖尿病患者出院后代谢控制效果的方法。方法:将2007年1月—2010年12月出院后的97例2型糖尿病患者分为两组,将坚持每个月二次来我科复诊参加健康教育,监测血糖、血脂、血压等代谢指标半年以上的38例患者设为随访组,将连续半年以上未来就诊,但在失访1年内前来复诊的患者59例设为对照组,两组的血糖水平及病情分级基本相当。比较两组患者的空腹血糖、餐后2小时血糖、血压、血脂、体重指数、糖化血红蛋白、糖尿病知识和自我管理能力的差异。结果:随访组患者代谢指标好于对照组,随访组患者糖尿病知识和自我管理能力优于对照组。结论:出院随访组患者代谢指标控制良好,其疾病知识、自我管理能力均有所提高。
Objective: To explore ways to improve the metabolic control effect of type 2 diabetes patients after discharge in Xining. Methods: 97 patients with type 2 diabetes who were discharged from January 2007 to December 2010 were divided into two groups. They would adhere to visit our department twice a month for health education, and monitor the blood glucose, blood lipid, blood pressure and other metabolic parameters For more than six months, 38 patients were selected as the follow-up group, which will be treated for more than half a year in the future. However, 59 patients who were referred for follow-up within 1 year of follow-up were regarded as the control group. Their blood glucose levels and their grading were basically the same. The differences of fasting blood glucose, blood glucose, blood pressure, blood lipid, body mass index, glycosylated hemoglobin, diabetes knowledge and self-management ability were compared between the two groups. Results: Metabolic indexes in follow-up group were better than those in control group. The follow-up group had better diabetes knowledge and self-management ability than control group. CONCLUSION: The metabolic parameters of discharged patients are well controlled and their disease knowledge and self-management ability are improved.