国家标准化代谢性疾病管理宁波分中心2型糖尿病患者的血糖管理效果

doi:10.3969/j.issn.1004-583X.2020.11.007

临床荟萃 ›› 2020, Vol. 35 ›› Issue (11): 992-996.doi: 10.3969/j.issn.1004-583X.2020.11.007

国家标准化代谢性疾病管理宁波分中心2型糖尿病患者的血糖管理效果

1.宁波大学医学院，浙江宁波 315211；2.宁波市第一医院内分泌科，浙江宁波 315010

出版日期:2020-11-20 发布日期:2020-10-21
通讯作者: 励丽, Email: lilyningbo@163.com

Effect of Ningbo Branch Center of the National Metabolic Management Center on blood glucose management in patients with type 2 diabetes mellitus

1.School of Medicine, Ningbo University, Ningbo 315211, China;
2.Department of Endocrinology, Ningbo First Hospital, Ningbo 315010, China

Online:2020-11-20 Published:2020-10-21
Contact: Corresponding author: Li Li, Email: lilyningbo@163.com

摘要/Abstract

摘要： 目的比较宁波地区国家标准化代谢性疾病管理中心（National Metabolic Management Center, MMC）和常规住院模式对2型糖尿病患者的血糖管理效果。方法入选2018年3月至2020年1月在宁波市第一医院门诊就诊并纳入MMC管理的367例 2型糖尿病患者为MMC组。按照年龄、性别、病程、基线的空腹血糖及糖化血红蛋白水平以1∶1匹配原则选取2018年3月至2020年1月在宁波市第一医院住院治疗的2型糖尿病患者为住院组。MMC组按照MMC标准对糖尿病患者进行诊疗，住院组采取三甲医院的常规住院诊疗模式。回顾性分析随访半年后两种管理模式对患者血糖水平的影响。结果随访半年后，MMC诊疗模式组和住院诊疗模式组管理前后空腹血糖、糖化血红蛋白、总胆固醇、甘油三酯、低密度脂蛋白胆固醇、丙氨酸转氨酶均较基线水平明显改善（P＜0.05）。结论 MMC对宁波地区2型糖尿病患者的糖化血红蛋白水平有较大改善作用，从8.32%下降至6.91%。与住院组相比，MMC组能够达到同等的血糖控制水平。

关键词: 糖尿病, 2型, 疾病管理, 糖化血红蛋白

Abstract: Objective To compare the effects of glycemic management between the National Metabolic Management Center (MMC) and routine hospitalization on patients with type 2 diabetes mellitus(T2DM). Methods Totally 367 patients with T2DM who were involved in the management of MMC and treated in Ningbo First Hospital's clinic from March, 2018 to January, 2020, were selected as MMC group. The hospitalized patients with T2DM) in Ningbo First Hospital were selected as hospitalization group from March, 2018 to January, 2020 according to 1∶1 matching principle based on age, gender, course, fasting blood grulose's basal level and hemoglobin A1c's basal level. Patients in MMC group were treated according to MMC standards, while those in hospitalization group had routine treatment of threeA hospitals. After the followup of half a year, the effects of two kinds of management on patients glycemic level were analyzed retrospectively.Results After the followup of half a year, compared with the baseline, fasting blood glucose, hemoglobin A1c, total cholesterol, triglyceride, low density lipoprotein cholesterol, alanine aminotransferase in both groups were significantly improved (P<0.05). Conclusion MMC has good effects on the improvement of hemoglobin A1c level which decreased from 8.32% to 6.91% in the patients. Compared with the hospitalization group, MMC group can reach the same level of glucose control.

Key words: diabetes mellitus, , type 2, disease management, hemoglobin A1c

中图分类号:

R589

王学鹏, 周晔, 徐斌, 金庸, 周人可, 励丽. 国家标准化代谢性疾病管理宁波分中心2型糖尿病患者的血糖管理效果[J]. 临床荟萃, 2020, 35(11): 992-996.

Wang Xuepeng, Zhou Ye, Xu Bin, Jin Yong, Zhou Renke, Li Li. Effect of Ningbo Branch Center of the National Metabolic Management Center on blood glucose management in patients with type 2 diabetes mellitus[J]. Clinical Focus, 2020, 35(11): 992-996.

导出引用管理器 EndNote|Ris|BibTeX

链接本文: https://huicui.hebmu.edu.cn/CN/10.3969/j.issn.1004-583X.2020.11.007

https://huicui.hebmu.edu.cn/CN/Y2020/V35/I11/992

[1]	吕莎莎, 宋金兰, 石健. m.3243A>G突变相关线粒体糖尿病1例并文献复习[J]. 临床荟萃, 2024, 39(2): 160-163.
[2]	张佳楠, 孙琳琳, 詹潇燕, 李冰. 血清维生素B₁₂与老年2型糖尿病轻度认知功能障碍的关系[J]. 临床荟萃, 2024, 39(1): 34-37.
[3]	位增, 曹灵, 佘敦敏, 刘彦, 王艳, 张真稳. 54例2型糖尿病患者合并新型冠状病毒感染的死亡原因分析[J]. 临床荟萃, 2023, 38(9): 806-812.
[4]	张娜文, 黄少敏, 田利民. 2型糖尿病与帕金森病相关性研究的进展[J]. 临床荟萃, 2023, 38(9): 845-850.
[5]	杨鑫, 许华娇. 基于Web of Science糖尿病患者心理干预研究的文献计量学分析[J]. 临床荟萃, 2023, 38(8): 731-736.
[6]	马光宇, 罗慧娟, 王冬菊, 肖小敏. 黄芩苷治疗糖尿病及其并发症的研究进展[J]. 临床荟萃, 2023, 38(8): 757-762.
[7]	张欣欣, 刘国庆, 王蓓蓓. 糖尿病酮症酸中毒引起极度血小板增多症1例并文献复习[J]. 临床荟萃, 2023, 38(8): 719-721.
[8]	金家辉, 杨阳, 秦铜, 何雨欣, 苏美华. 补充益生菌对2型糖尿病患者糖代谢改善的meta分析[J]. 临床荟萃, 2023, 38(7): 581-587.
[9]	贾丽娜, 吴美妮, 尹昌浩. 2型糖尿病认知功能障碍发病机制的研究进展[J]. 临床荟萃, 2023, 38(6): 554-558.
[10]	陈婷, 刘金彦. 中药靶向PI3K/Akt/mTOR通路调节自噬在糖尿病肾脏病中的研究进展[J]. 临床荟萃, 2023, 38(6): 564-568.
[11]	苏晨蓓, 王富军. 糖尿病下肢动脉疾病介入治疗疗效的研究进展[J]. 临床荟萃, 2023, 38(6): 569-572.
[12]	吴亚楠, 延天美, 梁鹏, 魏立民. 中老年糖尿病患者抑郁症状的高危识别[J]. 临床荟萃, 2023, 38(6): 516-520.
[13]	吕丽丽, 翟满满, 丁小艳, 陈永清. 线粒体转录因子A介导的线粒体功能障碍在糖尿病心肌病中的作用[J]. 临床荟萃, 2023, 38(5): 465-468.
[14]	易静静, 圈启芳, 马婕. 调节小胶质细胞反应性:糖尿病视网膜病变新见解[J]. 临床荟萃, 2023, 38(4): 364-368.
[15]	杨旻星, 孙璐, 叶赟, 徐文东, 黄小琳, 张海云, 徐英蕾. 中青年2型糖尿病合并阻塞性睡眠呼吸暂停低通气综合征患者认知功能特点及其影响因素[J]. 临床荟萃, 2023, 38(3): 216-220.

国家标准化代谢性疾病管理宁波分中心2型糖尿病患者的血糖管理效果

Effect of Ningbo Branch Center of the National Metabolic Management Center on blood glucose management in patients with type 2 diabetes mellitus

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价