关键词: 糖尿病, 高血脂症, 病例管理

Abstract: ObjectiveTo explore the effect of case management model on hyperlipidemia in diabetic outpatients. MethodsPatients with diabetes mellitus from Mar 2014 to Jun 2014 were enrolled and randomly divided into two groups. The patients in experimental group were treated with a health plan that was made personally for six months. Those of control group were treated with normal health education at the same time. The changes of fasting blood glucose， postprandial 2 hour blood glucose， HbA1c， total cholesterol and triglyceride were compared between experimental group and control group. ResultsAfter one month of health management， the five biochemical indexes above in each patient were all up to standard， the difference between two groups was not statistically significant (P>0.05). But， six months later， the indexes of patients in experimental group were still in control standard， while the control group showed different degrees of increase (P<0.05). ConclusionDiabetes health case management model can be an effective implementation of continuous care for discharged patients to help on a strict diet management， correcting bad habits， prevention of risk factors， improving clinical biochemical indexes， so as to achieve the purpose of effective control of diabetes mellitus.

Key words: diabetes mellitus, hyperlipidemias； case management