中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2012年
2期
92-95
,共4页
糖尿病肾病%危险因素%健康管理
糖尿病腎病%危險因素%健康管理
당뇨병신병%위험인소%건강관리
Diabetic nephropathies%Risk factors%Health management
目的 探讨健康管理对延缓早期糖尿病肾病(DN)进展的效果.方法 随机选取早期糖尿病肾病患者98例.随机分为实验组和对照组各49例.对所有患者填写调查问卷、并测定体重、尿微量白蛋白/肌酐(ACR)、血糖、餐后2h血糖、糖化血红蛋白、血压、血脂、肾功、尿蛋白等客观指标.同时全部健康资料归档管理,所有患者继续门诊治疗,实验组采用健康管理模式和疾病管理措施,对该组人群进行干预、教育3年.对照组不进行干预、教育.3年后两组患者再次填写问卷,并测定上述相关客观指标.结果 我们通过3年的健康管理,实验组ACR在明显下降,对照组不降,反而升高,两组比较具有统计学意义(P＜0.05).对照组15例患者出现尿蛋白,3例患者发展至终末期肾病,而实验组没有出现尿蛋白阳性和终末期肾病患者.对于DN的高危因素如高血糖、高血压、血脂异常明显下降,与对照组比较均有统计学意义(所有P ＜0.05).结论 对早期DN患者进行有效地健康管理,可以使其得到更加充分、全面的治疗,减轻导致肾脏病加重的危险因素,达到延缓DN患者病情进展的目的.
目的 探討健康管理對延緩早期糖尿病腎病(DN)進展的效果.方法 隨機選取早期糖尿病腎病患者98例.隨機分為實驗組和對照組各49例.對所有患者填寫調查問捲、併測定體重、尿微量白蛋白/肌酐(ACR)、血糖、餐後2h血糖、糖化血紅蛋白、血壓、血脂、腎功、尿蛋白等客觀指標.同時全部健康資料歸檔管理,所有患者繼續門診治療,實驗組採用健康管理模式和疾病管理措施,對該組人群進行榦預、教育3年.對照組不進行榦預、教育.3年後兩組患者再次填寫問捲,併測定上述相關客觀指標.結果 我們通過3年的健康管理,實驗組ACR在明顯下降,對照組不降,反而升高,兩組比較具有統計學意義(P＜0.05).對照組15例患者齣現尿蛋白,3例患者髮展至終末期腎病,而實驗組沒有齣現尿蛋白暘性和終末期腎病患者.對于DN的高危因素如高血糖、高血壓、血脂異常明顯下降,與對照組比較均有統計學意義(所有P ＜0.05).結論 對早期DN患者進行有效地健康管理,可以使其得到更加充分、全麵的治療,減輕導緻腎髒病加重的危險因素,達到延緩DN患者病情進展的目的.
목적 탐토건강관리대연완조기당뇨병신병(DN)진전적효과.방법 수궤선취조기당뇨병신병환자98례.수궤분위실험조화대조조각49례.대소유환자전사조사문권、병측정체중、뇨미량백단백/기항(ACR)、혈당、찬후2h혈당、당화혈홍단백、혈압、혈지、신공、뇨단백등객관지표.동시전부건강자료귀당관리,소유환자계속문진치료,실험조채용건강관리모식화질병관리조시,대해조인군진행간예、교육3년.대조조불진행간예、교육.3년후량조환자재차전사문권,병측정상술상관객관지표.결과 아문통과3년적건강관리,실험조ACR재명현하강,대조조불강,반이승고,량조비교구유통계학의의(P＜0.05).대조조15례환자출현뇨단백,3례환자발전지종말기신병,이실험조몰유출현뇨단백양성화종말기신병환자.대우DN적고위인소여고혈당、고혈압、혈지이상명현하강,여대조조비교균유통계학의의(소유P ＜0.05).결론 대조기DN환자진행유효지건강관리,가이사기득도경가충분、전면적치료,감경도치신장병가중적위험인소,체도연완DN환자병정진전적목적.
objective To investigate the effects of health management on the progress of early diabetic nephropathy (DN).Methods A total of 98 patients with early stage DN were randomly assigned to the study group (n =49 ) and the control group (n =49 ).Questionnaire survey was performed,and urinary albumin to creatinine rate (ACR),body weight,fasting glucose,postprandial 2 h glucose,blood pressure,and lipid profiles were measured.The patients of the study group received health and disease management for 3 years; however,those of the control group received no additional intervention other than essential treatment. At 3 years, all the participants completed the questionnaires and above-mentioned measurements.Results In comparison with the control group,ACR of the study group was significantly decreased at 3 years ( P ＜ 0.05 ).In the control group,urinary protein was found in 15 patients and 3participants developed end-stage renal disease.However,neither urinary protein nor end-stage renal disease was found in the study group.Risk factors of DN,including high blood glucose,high blood pressure,and high cholesterol,were significantly decreased in the study group (all P ＜ 0.05 ).Conclusion Early effective health management of DN may contribute to decreased risk factors of renal disease and delayed disease progression.
