Objective To investigate the effects co-operation administration of both hospital and community in type 2 diabetes therapy. Methods 180 patients with type 2 diabetes were randomly assigned into two groups by random number table; the combination adminislralion group(n = 88) and the conventional Health Education adminislralion group (n = 92). The combination administration group accepted the training from the specialists and received the telephone following-up by the physicians from the Communily Hospital. The conventional group accepted the routine diabeles training and education. The main points including HbA1C , btood pressure, body mass index and btood lipid were evaluated or accessed every six months and lasted for 18 months. Results At the end of foltow-up for 18 monlhs,the fast glucose level,TC,TG and LDL were significantly decreased compared with the baseline(P <0. 05 while no differ-rnence between these two groups including glucose(P = 0. 142) ,TC(P = 0. 124) ,TG (P = 0. 368)and LDL(P = 0. 241) . There existed a rebound of glycosylated hemogtobin A1C(HbA1C) and btood lipid at the end of 12 months. Conclusions The co-operation administration by both hospilal and community acted as an important mode for diabetes therapy though still need to be improved in management for di-abetes.%目的 观察医院社区联合管理模式控制2型糖尿病的效果,探讨糖尿病患者的最佳管理模式.方法 按照随机数字表将180例2型糖尿病患者分为联合管理组(n=88)和常规管理组(n=92).联合管理组每月接受医院专业医师的培训和社区医生定期的电话门诊随访,常规管理组接受社区医生常规糖尿病教育和跟踪随访.以糖化血红蛋白、血压、体重指数及血脂为主要评估指标,每半年评估一次,持续监测18个月.结果 干预后两组患者空腹血糖、总胆固醇、甘油三酯、低密度脂蛋白均明显改善(均P<0.05),而两组间差异无统计学意义[空腹血糖(P=0.142)、总胆固醇(P=0.124)、甘油三酯(P=0.368)、低密度脂蛋白(P=0.241).随访满一年后两组患者的血脂和糖化血红蛋白出现了不同程度的反弹.结论 医院社区联合管理模式是糖尿病治疗过程中不可忽视的手段,但依然存在诸多不足,需要糖尿病管理者在今后的工作中改进.
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