【摘要】 目的观察动态血糖监测(CGMS)期间进行阶段式强化健康教育对老年2型糖尿病(T2DM)患者血糖控制水平及健康教育效果的近、中期影响。方法老年T2DM患者100例,随机分为试验组和对照组各50例,两组均进行72hCGMS监测,监测前均接受糖尿病知识问卷调查,试验组每日下载血糖数据和图谱并根据结果与生活事件的联系进行针对性健康教育,连续4d,对照组只在72hCGMS结束后根据结果进行一次性教育,之后两组均采用快速血糖仪常规测量指尖多点血糖7d,收集两组患者10d的血糖值及住院天数。3个月后查两组患者的糖化血红蛋白、体重指数并再次进行糖尿病知识问卷调查。CGMS期间其他控制血糖措施两组间无差别。结果试验组10d的血糖均值中空腹血糖、早餐后2h血糖、中餐前血糖、晚餐后2h血糖、睡前血糖、凌晨3点血糖均低于对照组(P<0.05或P<0.01);血糖达标时间、低血糖发生次数、3个月后糖化血红蛋白均低于对照组(P<0.05或P<0.01),糖尿病知识问卷得分高于对照组(P<0.001)。结论CGMS期间应用每24h下载的血糖结果进行阶段式强化教育对老年T2DM患者血糖控制水平及健康教育的近中期效果优于72h一次性进行的教育。更多还原

【Abstract】 Objective To observe the influence of continuous glucose monitoring system(CGMS)of stage strengthen health education in blood glucose level and health education effect in elderly patients with type 2 diabetes(T2DM)on the recent-medium term impact.Methods One hundred elderly patients with T2DM were randomly devided into experimental and control groups,each group fifty patients.Two groups were given the CGMS for 72 h,and were all accepted the diabetes knowledge questionnaire before the monitoring.The experimental group was downloaded the blood glucose data and map every day for targeted education based on the results of the contact on life event for 4 d straight.The control group only was given one-time education based on the results after 72 h CGMS.Then both groups were used the rapid blood glucose instrument to measure fingertips multi-point blood glucose conventionally for 7 d.the blood glucose value and the number of days hospitalized were collected.Three months later,two group were checked the HbA1c,body mass index and the diabetes knowledge questionnaire one more time.Other control blood glucose implements between two group were no difference.Results The blood glucose of fasting,2 h after braekfast,before lunch,2 h after super,before going to bed,3 o’clock were lower in experimental group than those in control group(P<0.05 or P<0.01),the time of reaching the standard of blood glucose,frequency of hypoglycemia,the level of HbA1c after three months were lower in experimental group than those in control group(P<0.05 or P<0.01),the diabetes knowledge questionnaire scores were higher in experimental group than those in control group.Conclusions It is better to use the results of every 24 h downloading blood glucose to do the stage strengthen health education than that just to do one-time education based on the results after 72 h CGMS in blood glucose education level and health education effect in elderly patients with T2DM on the recent-medium term impact during CGMS.更多还原