·糖尿病治疗与管理·

　　王爱民 徐向进 张玲叶 洪江 牛鹏

　　通讯作者：徐向进，E-mail:xu98111@163.com

　　【摘要】目的探讨T2DM患者家庭血糖监测频次与控制对患者住院情况的影响。方法回顾性地调查2598例T2DM患者10年家庭血糖监测频次、接受DM教育、门诊随访周期对血糖达标、病情控制和住院情况的影响。结果定期接受DM教育且每周门诊随访的患者，血糖监测频次多，血糖控制达标率高，并发症发生少，与住院情况明显改善相关(P<0.01);文化程度、月收入、与配偶共住等条件是影响患者血糖控制和住院情况的重要因素(P<0.05)。结论T2DM患者家庭血糖监测频次与控制对糖尿病相关并发症的发生和发展起重要作用，显著减少患者的住院次数、住院天数和住院费用。

　　【关键词】糖尿病，2型;家庭;血糖监测;频次;住院

　　doi:10.3969/j.issn.1006-6187.2012.04.010

　　Effects of frequency of self-monitoring of blood glucose and blood glucose control on the hospitalization freguency and cost in type 2 diabetic patients. WANG Ai-min, XU Xiang-jin， ZHANG Ling, et al. Department of Endocrinology， Fuzhou General Hospital of PLA, Nanjing Military Area Command ,Fuzhou 350025, China

　　Corresponding author: XU Xiang-jin, E-mail: xu98111@163.com

　　【Abstract】ObjectiveTo investigate the effect of freguency of self-monitoring of blood glucose(SMBG) and blood glucose control on the hospitalization freguency and cost in type 2 diabetic patients. Methods The effects of SMBG, diabetic education, follow-up period on blood glucose control, disease control and hospitalization freguency were retrospectively investigated in 2598 cases of outpatients with type 2 diabetes mellitus during 10-years follow-up. ResultsPatients who received regular diabetic education and weekly clinic visit had more frequent blood glucose monitoring, better blood glucose control and lower incidence of complication, which significantly correlated with the improved hospitalization rate, cost and duration(P<0.01). Education level,monthly income and living together with their spouses were important factors affecting glucose control and hospitalization rate (P<0.05). ConclusionsThe frequency of SMBG is correlated with glucose control, development of diabetic complication, and hospitalization rate and duration.

　　【Key words】Diabetes mellitus, type 2; Family ;SMBG ; Frequency; Hospitalization