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Four-year dynamic observation and study on standardized management of elderly patients with type 2 diabetes in Beijing Yongding Road Community

查看全文 作　　者：Yue [1]Li;Dongyun [3]Shen;Wei [2]Zhang;Yimin [4]Wang;Hongmei [1]Li;Jie [1]Geng;Liying [1]Yang;Zhijun [1]Xiao;Yan [1]Liu;Zhigang [6]Feng;Linying [2]Cao;Yan [4]Jin;Lixia [5]Shi 高影响力作者 机构地区：[1]Aerospace Central Hospital Community Health Service Center,Beijing 100049,China;[2]The Fourth Neighborhood Community Health Service Station,Aerospace Central Hospital,Beijing 100049,China;[3]The Sixth Neighborhood Community Health Service Station,Beijing 100049,China;[4]The Eighth Neighborhood Community Health Service Station,Beijing 100049,China;[5]The Ninth Neighborhood Community Health Service Station,Beijing 100049,China;[6]CUIWEIXILI Community Health Service Station,Beijing 100049,China高影响力机构 出　　处：《Family Medicine and Community Health》索引2014年第2卷第2期,共8页高影响力期刊 基　　金：Foundation Project.Capital Medical Development and Research Foundation[2007-1035]。 摘　　要：Purpose:This study aimed to understand the joint standard of blood glucose,blood li-pids,and blood pressure in elderly patients>60 years of age with type 2 diabetes in the Beijing Yongding Road Community.Methods:One hundred ninety-two elderly patients>60 years of age who were diagnosed with type 2 diabetes in Yongding Road Community served as the investigation subjects,under-went standard management,and the dynamic changes in blood glucose,blood lipids,and blood pressure were monitored for 48 months.Results:At the end of the observation period,the standard rates of fasting blood glucose and postprandial blood glucose were 72.55%and 80.00%,respectively,which were increased compared with 55.73%and 56.08%at baseline(P<0.01).The standard rate of HbA1c was 59.81%,which was increased compared with 53.44%at baseline(P>0.05).The standard rates of TG and LDL-C were 76.71%and 60.38%,respectively,which were increased compared with 54.69%and 34.74%at base-line,and the standard rate of HDL-C was 13.64%,which was decreased compared with 40.10%at baseline(P<0.01).The standard rate of BP was 58.33%,which was increased compared with 38.54%at baseline(P<0.01).The optimal control rate of blood glucose for 48 months(the standard times of the total measurement times in 48 months≥75%)was higher;the fasting blood glucose was 52.17%,the 2-h postprandial blood glucose was 60.22%,and the HbA1c was 46.45%.The optimal control rate of blood lipids was lower;LDL-C was 17.49%and HDL-C was 13.59%.The optimal control rate of BP was 9.13%.At the end of the observation period,the levels of fasting blood glucose and postprandial blood glucose were decreased by 0.7 mmol/L and 1.48 mmol/L,respectively,compared with the base-line(P<0.01).The level of HbA1c was decreased by 0.18%compared with the baseline(P<0.05).The levels of LDL-C and HDL-C were decreased by 0.4 mmol/L and 0.23 mmol/L,respectively,compared with the baseline(P<0.01).The levels of SBP and DBP were decreased by 4 mmHg compared with the baseline(P<0.01).At the end of the observation period,the joint standard rate of the three indices of HbA1c,LDL-C,and BP was 24.72%,which was increased compared with 6.25%at baseline(P<0.01).Conclusion:Standardized management of elderly patients with diabetes in the Community can improve the joint standard rate of blood glucose,blood lipids,and blood pressure.The op-timal control rate and joint standard rate are the important indices for evaluating the quality of diabetes management. 关 键 词：Type 2 diabetes mellitus COMMUNITY MANAGEMENT Joint standard rate
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