医学理论与实践
醫學理論與實踐
의학이론여실천
The Journal of Medical Theory and Practice
2015年
12期
1549-1551
,共3页
糖尿病%老年%规范化管理%体重指数%血糖%糖化血红蛋白%血脂
糖尿病%老年%規範化管理%體重指數%血糖%糖化血紅蛋白%血脂
당뇨병%노년%규범화관리%체중지수%혈당%당화혈홍단백%혈지
Diabetes mellitus%The elderly%Standardized management%Body mass index%Blood glucose%Glycosylated hemoglobin%Blood lipid
目的：探讨不同体重指数的老年糖尿病患者在接受医院和社区规范化管理中的效果差异。方法：专科住院及门诊患者（医院组）按照国际糖尿病管理“五驾马车”规范标准治疗，社区患者（社区组）按照卫生部“十八项”社区卫生服务中糖尿病管理指南规范治疗。结果：超重患者中医院组和社区组血糖差异最明显，而糖化血红蛋白在正常体重组及超重组中均有明显差异，如果按照严格达标的标准（≤6．5％），仍提示超重组最明显。甘油三酯及低密度脂蛋白在超重和肥胖人群中均有显著差异。结论：严格血糖和糖化血红蛋白控制在超重老年糖尿病人群中效果最显著，随着体重增加，严格控制血脂的意义更大。对于超重、肥胖的老年糖尿病患者，应首先转入专科医院治疗，以减少重症患者出现，减轻医疗费用。
目的：探討不同體重指數的老年糖尿病患者在接受醫院和社區規範化管理中的效果差異。方法：專科住院及門診患者（醫院組）按照國際糖尿病管理“五駕馬車”規範標準治療，社區患者（社區組）按照衛生部“十八項”社區衛生服務中糖尿病管理指南規範治療。結果：超重患者中醫院組和社區組血糖差異最明顯，而糖化血紅蛋白在正常體重組及超重組中均有明顯差異，如果按照嚴格達標的標準（≤6．5％），仍提示超重組最明顯。甘油三酯及低密度脂蛋白在超重和肥胖人群中均有顯著差異。結論：嚴格血糖和糖化血紅蛋白控製在超重老年糖尿病人群中效果最顯著，隨著體重增加，嚴格控製血脂的意義更大。對于超重、肥胖的老年糖尿病患者，應首先轉入專科醫院治療，以減少重癥患者齣現，減輕醫療費用。
목적：탐토불동체중지수적노년당뇨병환자재접수의원화사구규범화관리중적효과차이。방법：전과주원급문진환자（의원조）안조국제당뇨병관리“오가마차”규범표준치료，사구환자（사구조）안조위생부“십팔항”사구위생복무중당뇨병관리지남규범치료。결과：초중환자중의원조화사구조혈당차이최명현，이당화혈홍단백재정상체중조급초중조중균유명현차이，여과안조엄격체표적표준（≤6．5％），잉제시초중조최명현。감유삼지급저밀도지단백재초중화비반인군중균유현저차이。결론：엄격혈당화당화혈홍단백공제재초중노년당뇨병인군중효과최현저，수착체중증가，엄격공제혈지적의의경대。대우초중、비반적노년당뇨병환자，응수선전입전과의원치료，이감소중증환자출현，감경의료비용。
Objective:To explore the effect difference in elderly diabetic patients with different body mass index through the hospital and community standardization management .Methods:We treat inpatient and outpatient (hospital group) according to international diabetes management “five carriages”standard .We treat the patients in community according to the management of diabetes therapy guide specification in“Eighteen”community health service of the Min-istry of health .Results:The difference in blood glucose is most obvious in the overweight patients between the hospital group and community group .Glycosylated hemoglobin in normal weight and overweight groups were significantly dif-ferent .Glycosylated hemoglobin in overweight group were significantly different according to the strict standard (less than 6 .5% ) .Triglyceride and low density lipoprotein in overweight and obese people have significant differences .Con-clusion:The effect of strict control of blood glucose and glycosylated hemoglobin in overweight elderly diabetic popula-tion is the most significant .With the increased weight ,strict control of blood lipids has greater significance .Over-weight ,obesity in elderly patients with diabetes ,should be the first to specialized subject hospital to reduce the appear-ance of severe patients and reduce expenditure .
