摘要
目的观察团队信息化血糖管理模式用于慢性阻塞性肺疾病急性加重期(AECOPD)合并糖尿病患者的临床疗效。方法选取2020年10月至2022年10月该院收治的AECOPD合并糖尿病或伴高血糖患者112例作为干预组,2019年1月至2020年9月收治的AECOPD合并糖尿病或伴高血糖患者104例作为对照组。两组患者均接受吸氧、止咳、祛痰、解痉、平喘、抗感染、激素,以及必要时行无创正压辅助通气等标准治疗。对照组按传统会诊模式进行血糖管理,干预组接受团队信息化血糖管理模式进行血糖管理。比较两组患者的临床疗效。结果两组患者血糖管理后空腹血糖监测率比较,差异无统计学意义(P>0.05);干预组患者血糖管理后糖化血红蛋白检测率、平均每天餐后血糖监测次数、平均每天血糖监测总次数、血糖达标率均明显高于对照组,血糖达标时间、抗生素使用时间均明显短于对照组,日内最大血糖波动幅度明显小于对照组,低血糖发生率、无创呼吸机使用率、入住重症监护病房插管率均明显低于对照组,住院时间及住院费用均明显少于对照组,差异均有统计学意义(P<0.05)。结论团队信息化血糖管理模式能高效、安全地管理AECOPD合并高血糖患者,并实现加速康复、卫生经济学等多重获益。
Objective To observe the clinical effect of the team information-based blood glucose management mode use in the patients with acute exacerbation of obstructive pulmonary disease(AECOPD)complicating diabetes.Methods A total of 112 inpatients with AECOPD complicating diabetes treated in this hospital from October 2020 to October 2022 were selected as the intervention group,and 104 patients with AECOPD complicating diabetes treated from January 2019 to September 2020 served as the control group.All patients in the two group received the standard treatment such as oxygen inhalation,cough relief,expectoration,spasmolysis,antiasthmatic,anti-infection,hormone and non-invasive positive pressure assisted ventilation when necessary.The control group conducted the blood glucose management according to the traditional consultation mode,and the intervention group received the team informatization blood glucose management mode.The clinical treatment effects were compared between the two groups.Results There was no statistically significant difference in the fasting blood glucose monitoring rate between the two groups(P>0.05),but the HbA1c detection rate,average daily postprandial blood glucose monitoring times,average daily total blood glucose monitoring times and blood glucose reaching standard rate in the intervention group were significantly higher than those in the control group(P<0.01).The time of blood glucose reaching standard and antibacterial drug use in the intervention group was significantly shorter than that in the control group(P<0.01),the intra-day maximal fluctuation range of blood glucose was smaller than that in the control group,the incidence rate of hypoglycemia,utilization rate of non-invasive ventilator and intubation rate in ICU were significantly lower than those in the control group,the hospitalization duration and hospitalization expenses in the intervention group were significantly less than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The team informatization blood glucose management model could high-efficiently and safely manage the patients with AECOPD complicating hyperglycemia,and realize the multiple benefits such as accelerated rehabilitation and health economics.
作者
李健
余兰
周宇
殷小华
郝梦蕾
王艳立
邓治平
LI Jian;YU Lan;ZHOU Yu;YIN Xiaohua;HAO Menglei;WANG Yanli;DENG Zhiping(Department of Endocrinology,Zigong Municipal First People’s Hospital,Zigong,Sichuan 643000,China;Department of Ultrasound Medicine,Zigong Municipal First People’s Hospital,Zigong,Sichuan 643000,China;Department of Respiration and Critical Illness,Zigong Municipal First People’s Hospital,Zigong,Sichuan 643000,China)
出处
《重庆医学》
CAS
2023年第13期2010-2013,2018,共5页
Chongqing medicine
基金
四川省医学科研课题计划立项(S19046)
四川省自贡市重点科技计划项目(2020YXY07)。
关键词
血糖管理
信息化
2型糖尿病
慢性阻塞性肺疾病
blood glucose management
informatization
type 2 diabetes mellitus
chronic obstructive pulmonary disease
