Four-year dynamic observation and study on standardized management of elderly patients with type 2 diabetes in Beijing Yongding Road Community

作     者：Yue Li Dongyun Shen Wei Zhang Yimin Wang Hongmei Li Jie Geng Liying Yang Zhijun Xiao Yan Liu Zhigang Feng Linying Cao Yan Jin Lixia Shi 

作者机构：Aerospace Central Hospital Community Health Service CenterBeijing 100049China The Fourth Neighborhood Community Health Service StationAerospace Central HospitalBeijing 100049China The Sixth Neighborhood Community Health Service StationBeijing 100049China The Eighth Neighborhood Community Health Service StationBeijing 100049China The Ninth Neighborhood Community Health Service StationBeijing 100049China CUIWEIXILI Community Health Service StationBeijing 100049China 

出 版 物：《Family Medicine and Community Health》 (家庭医学与社区卫生（英文）)

年 卷 期：2014年第2卷第2期

页      面：22-29页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：Foundation Project.Capital Medical Development and Research Foundation[2007-1035] 

主　　题：Type 2 diabetes mellitus Community Management Joint standard rate 

摘      要：Purpose:This study aimed to understand the joint standard of blood glucose,blood li-pids,and blood pressure in elderly patients60 years of age with type 2 diabetes in the Beijing Yongding Road ***:One hundred ninety-two elderly patients60 years of age who were diagnosed with type 2 diabetes in Yongding Road Community served as the investigation subjects,under-went standard management,and the dynamic changes in blood glucose,blood lipids,and blood pressure were monitored for 48 ***:At the end of the observation period,the standard rates of fasting blood glucose and postprandial blood glucose were 72.55%and 80.00%,respectively,which were increased compared with 55.73%and 56.08%at baseline(P0.05).The standard rates of TG and LDL-C were 76.71%and 60.38%,respectively,which were increased compared with 54.69%and 34.74%at base-line,and the standard rate of HDL-C was 13.64%,which was decreased compared with 40.10%at baseline(P0.01).The standard rate of BP was 58.33%,which was increased compared with 38.54%at baseline(P0.01).The optimal control rate of blood glucose for 48 months(the standard times of the total measurement times in 48 months≥75%)was higher;the fasting blood glucose was 52.17%,the 2-h postprandial blood glucose was 60.22%,and the HbA1c was 46.45%.The optimal control rate of blood lipids was lower;LDL-C was 17.49%and HDL-C was 13.59%.The optimal control rate of BP was 9.13%.At the end of the observation period,the levels of fasting blood glucose and postprandial blood glucose were decreased by 0.7 mmol/L and 1.48 mmol/L,respectively,compared with the base-line(P0.01).The level of HbA1c was decreased by 0.18%compared with the baseline(P0.05).The levels of LDL-C and HDL-C were decreased by 0.4 mmol/L and 0.23 mmol/L,respectively,compared with the baseline(P0.01).The levels of SBP and DBP were decreased by 4 mmHg compared with the bas