原创《血糖监测对非胰岛素治疗2型糖尿病患者生活质量影响》：这是一篇与非胰岛素论文范文相关的免费优秀学术论文范文资料,为你的论文写作提供参考。
摘 要 目的：观察非胰岛素治疗2型糖尿病患者的血糖规范监测次数达标情况对生活质量的影响.方法：根据巢式病例对照研究设计,对160例非胰岛素治疗2型糖尿病患者随访3个月后,按照血糖监测次数达标和否分成达标组50例,未达标组50例,比较两组2型糖尿患者基线和随访3个月的生活质量（DMQLS）、空腹血糖（FPG）、糖化血红蛋白（HbA1c）和体重指数（BMI）的变化.结果：随访3个月时,达标组患者的HbA1c水平和DMQLS总分和各维度得分均低于基线,差异有统计学意义（P<0.05）.且达标组的DMQLS总分和疾病维度、心理维度、社会维度、满意维度得分均低于未达标组,差异有统计学意义（P<0.05）.结论：遵循血糖规范化监测有助于提高非胰岛素治疗的2型糖尿病患者的生活质量,对实现糖尿病个体化治疗与管理,延缓糖尿病并发症发生等具有重要作用.
关键字 2型糖尿病；血糖监测；非胰岛素治疗；生活质量
中图分类号：R587.1 文献标志码：A 文章编号：1006-1533（2017）22-0050-03
Effect of blood glucose monitoring on the quality of life of patients with type 2 diabetes mellitus treated with non insulin therapy
MA Longfei, LE Jiayi, WEI Wei, YU Minjie, SONG Rui, SHEN Shifeng, ZHENG Li, YAO Shunjie（Ruijinerlu Community Health Service Center of Huangpu District, Shanghai 200020, China）
ABSTRACT Objective： To observe the influence of standard blood glucose monitoring frequency in the monitoring the quality of life of the patients with type 2 diabetes mellitus treated with non insulin therapy. Methods： Based on nested case control study design, after 160 patients with non-insulin treatment were followed up for 3 months, according to the compliance frequency of standardized glucose monitoring, they were divided into a standard group with 50 cases and a non standard group with 50 cases, the changes in the quality of life （DMQLS）, fasting plasma glucose （FPG）, HbA1c （HbA1c） and body mass index（BMI） were compared at baseline and 3 months of follow-up in the patient with type 2 diabetes in the two groups. Results： After 3 months of follow-up, the scores of HbA1c, total score and dimension score of DMQLS of the patients in the standard group were lower than those of the baseline, and the difference was statistically significant （P<0.05）. The scores of DMQLS, disease dimension, psychological dimension, social dimension and satisfaction dimension of the standard group were lower than those of the non standard group, and the difference was statistically significant （P<0.05）. Conclusion： Following the standardized monitoring of blood glucose in diabetic patients helps to improve the quality of life of diabetic patients with non-insulin treatment. It plays an important role in individual treatment and management of diabetes mellitus and delaying the occurrence of diabetic complications and so on.
KEY WORDS type 2 diabetes mellitus； blood glucose monitoring； non insulin therapy； quality of life
血糖監测是糖尿病管理中一个重要检测指标.规范化的血糖监测有助于评估糖尿病患者糖代谢紊乱的程度,对制订合理的降血糖治疗方案、观察降血糖药物治疗效果和及时调整治疗方案等均有很大益处.根据《中国血糖监测临床应用指南（2015年版）》[1]（以下简称《血糖监测指南》）的血糖监测次数达标标准,目前我国糖尿病患者中血糖监测次数达标率仅19%左右[2].根据国内外的诸多对非胰岛素治疗的2型糖尿病患者进行的血糖监测和生活质量相关性研究未达成一致共识[3-4].因此,我们按照《血糖监测指南》中规定的非胰岛素治疗的2型糖尿病患者的血糖监测次数达标和否,进一步研究对糖尿病患者生活质量的影响,为《血糖监测指南》的推广提供依据.
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结论：血糖监测对非胰岛素治疗2型糖尿病患者生活质量影响为关于本文可作为相关专业非胰岛素论文写作研究的大学硕士与本科毕业论文正规胰岛素多少钱一支论文开题报告范文和职称论文参考文献资料。
