作　　者： (郎玉坤）; (吴浩）; (邓宏艳）; (刘芬）; (魏学娟）; (高文娟）; (张威）;

机构地区： 首都医科大学全科医学与继续教育学院,北京市100069

出　　处： 《中国卫生信息管理杂志》 2017年第4期565-569,共5页

摘　　要： 目的:检验糖尿病管理团队应用实时动态血糖监测系统(real time continuous glucose monitoring system,RT-CGMS),结合移动互联网技术和手机App功能优化糖尿病社区综合治疗管理的效果评价。方法:应用实时动态血糖监测系统对40例门诊糖尿病患者进行连续3天的血糖监测。患者与受过专业培训的糖尿病管理团队人员一起根据RT-CGMS结果、患者的日常生活用药记录和患者的目前身体状况,制订一个治疗策略。在每个月患者来医院就诊或随访时,由全科医生根据患者的情况决定下一步的治疗方案。4个月后对比干预前后患者糖化血红蛋白、最高血糖、平均血糖、血糖≥7.8mmol/L时间比(%)的变化。结果:患者干预前后糖化血红蛋白、最高血糖、平均血糖、血糖≥7.8mmol/L时间比(%)的下降明显,通过t检验,P<0.05,说明存在显著差异,具有统计学意义。干预前后空腹血糖,通过秩和检验,P<0.05,说明存在显著差异,具有统计学意义。结论:糖尿病管理团队应用RT-CGMS监测,结合移动互联网技术和手机App功能优化糖尿病社区综合治疗管理,提高了糖尿病患者的依从性,可帮助医生找到糖尿病控制的靶点,精准调药,给患者制订个体化的饮食图谱和运动计划,使患者血糖得到更好地控制。 Objective To inspect diabetes management team by using real-time dynamic blood sugar monitoring system, combining the technology of mobile Internet and mobile phone App to optimize the effect evaluation of diabetes community comprehensive treatment management. Methods Applied real time Continuous Glucose Monitoring System（RT-CGMS） to 40 diabetes cases for 3-day＇s blood sugar monitoring. A treatment strategy was developed by patients and trained diabetes management team according to result of RT-CGMS, patient＇s medical records in daily life and physical condition. A general practitioner will determine the next phase treatment according to patient＇s condition during monthly visit or follow-up. Compare patients＇ average highest glycosylated hemoglobin, blood sugar, blood glucose, blood sugar or greater tendency for 7.8/L time the change of the ratio（%） before and after 4-month-intervention. Results The before and after intervention comparison of patients average highest glycosylated hemoglobin, blood sugar, blood sugar, blood glucose or greater tendency for 7.8mmol/L time the change of the ratio（%） showed significant decrease, by t test, P〈0.05, suggesting significant difference, statistically. ConclusionRT-CGMS monitoring improved patient compliance, helped the doctor timely and effectively adjust the dose of insulin or drugs and methods and made individualized diet and exercise plan, and helped the patients to get better blood sugar control.

关 键 词： 实时动态血糖监测系统 临床评价 手机 糖尿病管理团队