CAJ | 학술논문

目的：探讨住院T2DM患者不同血糖监测频次对住院天数、医疗花费及血糖控制情况方面的影响。方法随机选取在我院住院治疗的T2DM患者1000例，根据住院期间血糖监测频数，分为5点血糖监测组和7点血糖监测组。所有患者在空腹血糖≤7.0mmol/L，餐后血糖＜10.0mmol/L，血糖平稳2d后出院。比较两组患者住院天数、医疗花费及血糖控制情况方面的不同。结果7点血糖监测组患者较5点血糖监测组住院天数明显缩短、总住院费用、药品费用、治疗费用明显降低（P＜0.05），但两组患者检查化验费用及日治疗费用差异无统计学意义（P＞0.05）。在血糖控制方面，7点血糖监测组较5点血糖监测组可以更有效地控制血糖平稳达标，减少血糖波动。结论住院T2DM患者每日7点血糖监测明显缩短住院天数、降低住院花费，有效控制血糖，减少血糖波动。
목적：탐토주원T2DM환자불동혈당감측빈차대주원천수、의료화비급혈당공제정황방면적영향。방법수궤선취재아원주원치료적T2DM환자1000례，근거주원기간혈당감측빈수，분위5점혈당감측조화7점혈당감측조。소유환자재공복혈당≤7.0mmol/L，찬후혈당＜10.0mmol/L，혈당평은2d후출원。비교량조환자주원천수、의료화비급혈당공제정황방면적불동。결과7점혈당감측조환자교5점혈당감측조주원천수명현축단、총주원비용、약품비용、치료비용명현강저（P＜0.05），단량조환자검사화험비용급일치료비용차이무통계학의의（P＞0.05）。재혈당공제방면，7점혈당감측조교5점혈당감측조가이경유효지공제혈당평은체표，감소혈당파동。결론주원T2DM환자매일7점혈당감측명현축단주원천수、강저주원화비，유효공제혈당，감소혈당파동。
Objective To investigate the effect of frequency of blood glucose monitoring on the number of days of hospitalization, medical costs and glycemic control in hospitalized patients with T2DM. Methods 1000 patients with T2DM patients were randomly selected in our hospital, according to the number of daily monitoring of blood glucose during hospitalization, blood glucose monitoring group divided 5 and 7 point blood glucose monitoring group. Two groups patients received lifestyle intervention guidance and regular hypoglycemic therapy, all patients in the FPG ≤ 7.0mmol/L, PPG < 10.0mmol/L, patients discharged from hospital after blood glucose stable two days. Comparison of two groups of patients hospital stay, health care costs and glycemic control in different situations. Results 7 point glucose monitoring group was significantly shorter hospital stay and total hospital costs, drug costs, treatment costs, day hospitalization cost was significantly lower (P < 0.05), but two groups of patients laboratory examination fee and the cost of treatment days was no significant difference P>0.05). In glycemic control, 7 point glucose monitoring groups can more effectively control blood sugar steady and compliance, reduce the incidence of hypoglycemia. Conclusion Daily 7 point glucose monitoring in hospitalized patients with T2DM can significantly shorten the length of hospital stay, reduce hospital spending, effectively control blood sugar and reduce the incidence of hypoglycemia.