加强随访管理降低2型糖尿病患者的血脂水平

摘要

Objective To investigate the effect of intensive follow-up management on the level of plasma lipids in patients with type 2 diabetes. Methods One hundred patients with type 2 diabetes and dyslipidemia.who were discharged from the hospital 6 months ago,were recruited and randomly divided into two groups. The patients in the experimental group received intensive follow-up management such as periodic diabetes education and supervision of patients' self-management behaviors. The level of plasma lipids,blood glucose,blood pressure and body weight were measured before and after intervention. Results After intervention,the patients' level of plasma low density lipoprotein (LDL),HbAlc,blood pressure and body weight were significantly lower in the experimental group than those of control group (P<0.05). Conclusion Intensive follow-up management can promote the control of plasma lipids,body weight and blood glucose in patients with type 2 diabetes.%目的 观察加强随访管理对2型糖尿病患者血脂水平的影响。方法 选择曾经住院且出院半年以上的糖尿病伴血脂异常者100例,按随机数字表法分为干预组和对照组。两组在常规随访的基础上,干预组加强随访管理,如定期糖尿病教育,护士监督改善患者自我管理行为等。干预6个月后,比较两组在血脂、血糖、血压、体重等方面的变化。结果 干预6个月后,干预组的低密度脂蛋白(LDL)水平显著低于对照组(P＜0.05),糖化血红蛋白(HbA1c)水平和体重下降水平两组差异也有统计学意义(P＜0.05)。干预组血脂、血糖和血压的达标率均好于对照组。结论 强化随访管理对2型糖尿患者血脂达标有显著的影响,同时有益于减轻患者体重和改善血糖水平。