CAJ | 학술논문

目的：探讨分阶段糖尿病达标管理模式糖尿病（DM）患者的血脂监测行为及低密度脂蛋白胆固醇（LDL-C）值控制的影响。方法：672例DM患者，采用DM分阶段DM达标管理模式进行随访，对患者按“开始、调整、维持”三阶段进行综合管理。对患者随访管理后第一年和第二年的LDL-C监测频率及监测数值，进行百分比和均数的比较。结果：随访管理后第一年和第二年的LDL-C监测频率分别由17.8%上升到70.1%和96.6%（P＜0.05），随访管理1年后的LDL-C值与基线比较有明显降低（P＜0.05），而2年后的LDL-C值则进一步降低（P＜0.05）。结论：在两年的分阶段DM达标管理中，患者的LDL-C值的监测频率明显上升，LDL-C值的逐年下降，第二年的效果更明显。
목적：탐토분계단당뇨병체표관리모식당뇨병（DM）환자적혈지감측행위급저밀도지단백담고순（LDL-C）치공제적영향。방법：672례DM환자，채용DM분계단DM체표관리모식진행수방，대환자안“개시、조정、유지”삼계단진행종합관리。대환자수방관리후제일년화제이년적LDL-C감측빈솔급감측수치，진행백분비화균수적비교。결과：수방관리후제일년화제이년적LDL-C감측빈솔분별유17.8%상승도70.1%화96.6%（P＜0.05），수방관리1년후적LDL-C치여기선비교유명현강저（P＜0.05），이2년후적LDL-C치칙진일보강저（P＜0.05）。결론：재량년적분계단DM체표관리중，환자적LDL-C치적감측빈솔명현상승，LDL-C치적축년하강，제이년적효과경명현。
[ABSTRACT]Objective: To investigate the staged Diabetes Targeting Management lipid monitoring behavior of patients and low density lipoprotein cholesterol (LDL-C) values of the control effect. Methods: 672 cases of patients with DM, using DM phase management mode for patients with follow-up, comprehensive management according to "start, adjust, maintain" three stage.LDL-C monitoring frequency and monitoring value in the first year of follow-up management of patients after and second years, compares the percentage and mean. Results: LDL-C monitoring frequency in the first year after the follow-up management and second respectively rose from 17.8%to 70.1%and 96.6%(P<0.05), LDL-C follow-up management after 1 years compared with baseline values significantly decreased (P<0.05), and after 2 years of LDL-C values is further reduced (P<0.05). Conclusion: In the phased target management in two years, the frequency of monitoring patients with LDL-C value was significantly increased, LDL-C value decreased year by year, second years of the effect is more obvious.