【摘要】 目的 :了解江苏省1型糖尿病诊疗现状,以期提高1型糖尿病诊断治疗水平。方法:设计调查问卷,对江苏省12市共35家三级医院的内分泌科医师进行问卷调查,内容主要包括1型糖尿病诊断、治疗、血糖控制、教育和随访。结果:共回收有效问卷417份。71.9%医师首选"基础+餐时"胰岛素方案,75.1%医师曾处方加用口服降糖药物,不同职称组间差异均无统计学意义（P>0.05）。91.4%和85.6%的医师推荐"利用血糖仪进行自我血糖监测"和"糖化血红蛋白测定"作为血糖监测方法。约80%医师近期接诊的T₁DM患者都曾发生低血糖事件及酮症。患者自我管理能力被认为是影响医师处方的一大因素。结论:医师对1型糖尿病诊疗基础认知较好,但诊疗现状总体有待进一步提高。更多还原

【Abstract】 Objective:To investigate and improve the management of type 1 diabetes mellitus in Jiangsu Province. Methods:A questionnaire designed for this survey was used to learn about the diagnosis,treatment,glycemic control,education and follow-up of type 1 diabetes mellitus among endocrinologists from 35 tertiary hospitals in Jiangsu Province. Results:Altogether 417 valid questionnaires were collected. Among them,71.9% of endocrinologists preferred multiple daily injections basal-bolus insulin regimens from diagnosis,and 75.1% of endocrinologists had prescribed oral medicines in combination with insulin. There was no significant difference among different professional title groups(P > 0.05). Self-monitoring of blood glucose(SMBG)and hemoglobin A1 C measurement were recommended by 91.4% and 85.6% of endocrinologists respectively. Hypoglycemic events and ketosis occurred in nearly 80% patients. The self-management skills had become the main factor influencing endocrinologists ’ decisions.Conclusion:The mastering of basic perception of type 1 diabetes mellitus knowledge is satisfactory among the endocrinologists,while overall level of diagnosis and treatment remains to be improved.更多还原