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中文摘要: 目的 观察家庭医生服务对社区2型糖尿病患者早期糖尿病肾病防治的作用。方法选取2017年6月—2019年5月上海市浦东新区上钢社区卫生服务中心管理的社区糖尿病患者300例作为研究对象，随机分为观察组与对照组，完成研究288例，分为观察组146例、对照组142例。观察组给予家庭医生服务，对照组给予一般门诊随访服务，比较两组患者尿微量白蛋白肌酐比值（ACR）、SDSCA-6量表评分、PACIC-DSF量表评分、空腹血糖、糖化血红蛋白和血压的达标情况。结果 通过家庭医生服务，观察组ACR异常率低于对照组(P＜0.05)，观察组SDSCA-6量表得分、 PACIC-DSF量表得分高于对照组(P＜0.05)，观察组空腹血糖达标率、糖化血红蛋白达标率及血压达标率均高于对照组(P＜0.05)。结论 家庭医生服务可以提高社区2型糖尿病患者早期糖尿病肾病防治的水平。
Abstract:OBJECTIVE To observe the effect of family doctor’s service on the prevention and treatment of early diabetic nephropathy in community patients with type 2 diabetes.METHODS From June 2017 to May 2019, 300 patients with diabetes in the community managed by Shanggang Community Health Service Center were selected as the study objects. They were randomly divided into observation group and control group , with 288 cases completed,146 in the observation group and 142 in the control group.The observation group was provided with family doctor’s service, while the control group was provided with general outpatient follow-up service. The results were compared between the two groups in terms of urine microalbumin creatinine ratio (ACR), SDSCA-6 scale score, PACIC-DSF scale score, fasting blood glucose, glycosylated hemoglobin and blood pressure.RESULTS Through the service of family doctors, the abnormal rate of ACR in the observation group was lower than that in the control group(P＜0.05), the scores of SDSCA-6 and PACIC-DSF in the observation group were higher than those in the control group(P＜0.05), The standard-reaching rates of fasting blood glucose、glycosylated hemoglobin and blood pressure in the observation group were higher than those in the control group(P＜0.05).CONCLUSION Family doctor’s service can improve the level of prevention and treatment of early diabetic nephropathy in community patients with type 2 diabetes.
文章编号：3202001005 中图分类号：R197 文献标志码：
基金项目:
| 作者 | 单位 |
| 刘平阳① ，汤梅华①，李 莉① |
| Author Name | Affiliation |
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