CAJ | 학술논문

目的：探讨基于网络的远程管理模式在糖尿病管理中的应用成效。方法将自愿参加研究的114例2型糖尿病患者按随机数字法分为观察组和对照组，每组57例。对照组采取常规门诊干预措施；观察组实施远程管理。结果观察组血压、空腹血糖、糖化血红蛋白、甘油三酯及高密度脂蛋白胆固醇较基线明显改善（P＜0．05），与对照组相比，观察组在空腹血糖和糖化血红蛋白两方面改善作用更明显（P＜0．05），且糖化血红蛋白达标率增加（P＝0．049），低血糖的发生率较对照组减少（P＝0．044），但在脂代谢等方面改善不明显（P＞0．05）。结论远程管理模式较常规门诊干预可显著改善2型糖尿病患者的糖代谢指标，提高血糖控制达标率，减少低血糖事件的发生。
목적：탐토기우망락적원정관리모식재당뇨병관리중적응용성효。방법장자원삼가연구적114례2형당뇨병환자안수궤수자법분위관찰조화대조조，매조57례。대조조채취상규문진간예조시；관찰조실시원정관리。결과관찰조혈압、공복혈당、당화혈홍단백、감유삼지급고밀도지단백담고순교기선명현개선（P＜0．05），여대조조상비，관찰조재공복혈당화당화혈홍단백량방면개선작용경명현（P＜0．05），차당화혈홍단백체표솔증가（P＝0．049），저혈당적발생솔교대조조감소（P＝0．044），단재지대사등방면개선불명현（P＞0．05）。결론원정관리모식교상규문진간예가현저개선2형당뇨병환자적당대사지표，제고혈당공제체표솔，감소저혈당사건적발생。
Objective To study the applying effective on diabetes management based on the network telemedicine management .Method 114 patients with type 2 diabetes voluntary participated in this study was divided into observa‐tion group and control group by random number method .57 patients in each group .patients in control group was given routine outpatient intervention measures .patients in observation group was given telemedicine management in‐tervention .Result The BP ,FBG ,HbAlc ,TG ,and HDL‐C in observation group was remarkably improved compared with baseline data (P<0 .05) ,and there were significant differences on FBG and HbAlc compared with the control group (P<0 .05) .The compliance rate of glycated hemoglobin was increased (P=0 .049) and the rate of incidence of hypoglycemia was group decreased (P=0 .044) compared with control group .There was no significant improving in lipid metabolism (P> 0 .05) .Conclusion The telemedicine intervention for the management of type 2 diabetes could improve the compliance rate of glycemic control indicators and self care activities ,reduce hypoglycemia events .