CAJ | 학술논문

目的：观察强化随访对2型糖尿病患者血糖监测及控制的效果。方法将64例2型糖尿病患者随机分为强化组和对照组各32例，两组患者均作常规出院评估，强化组增加随访次数（出院后第一月内每周一次，第二月起每两周一次，第三月起每月一次共计随访6个月，10次）。对照组患者常规随访（出院后2月电话随访一次，共计6个月，3次）。6个月后观察两组患者空腹血糖、餐后2h血糖及糖化血红蛋白变化情况。结果6个月后两组患者空腹血糖、餐后2小时血糖及糖化血红蛋白指标均有明显下降（P＜0.05）具有统计学意义。结论对2型糖尿病患者进行强化随访能够提高患者遵医行为，使血糖得到有效控制，提高患者的生活质量。
목적：관찰강화수방대2형당뇨병환자혈당감측급공제적효과。방법장64례2형당뇨병환자수궤분위강화조화대조조각32례，량조환자균작상규출원평고，강화조증가수방차수（출원후제일월내매주일차，제이월기매량주일차，제삼월기매월일차공계수방6개월，10차）。대조조환자상규수방（출원후2월전화수방일차，공계6개월，3차）。6개월후관찰량조환자공복혈당、찬후2h혈당급당화혈홍단백변화정황。결과6개월후량조환자공복혈당、찬후2소시혈당급당화혈홍단백지표균유명현하강（P＜0.05）구유통계학의의。결론대2형당뇨병환자진행강화수방능구제고환자준의행위，사혈당득도유효공제，제고환자적생활질량。
Objective Observing the effect of intensive follow-up on blood glucose control of patient with typeⅡdiabetes. Methods 64 patients of Type II diabetics were put into intensifying group and comparing group, with 32 patients in each group. The two groups of patients would be evaluated normally after leaving hospital. The patients in comparing group will get more chances of follow-up (once a week after going out of the hospital for the first month, twice a month for the second month and from the third week to the sixth week once a month and total 10 times) , while the patients in the observing group will get normal follow-up ( every 2 month after going out of hospital and total 6 times by telephone) . Observing the blood glucose level before eating, blood glucose level two hours after eating and the change of glycosylated hemoglobin 6 month later) . Results 6 month later, the blood glucose level before eating, blood glucose level two hours after eating and the data of glycosylated hemoglobin of the two groups had clearly declined ( P<0.05) and had statistically significant. Conclusion The follow-up in blood glucose control of patient with typeⅡdiabetes would enable the patients to follow the doctor's direction and effectively control the blood glucose and improve the living quality of the patients.