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find Author "田中" 3 results
  • 成都市苏坡社区糖尿病规范化管理的效果评价

    目的评价糖尿病社区规范化管理在2型糖尿病控制中的效果。 方法2012年1月-7月在苏坡社区卫生服务中心新建档的2型糖尿病患者中自愿接受糖尿病规范化管理患者56例,通过全科医师团队综合管理,由家庭医师负责档案管理、落实具体措施,规范化管理1年,采用问卷调查及糖尿病随访表记录评估管理前后效果(糖尿病相关知识、依从性、血糖控制率、糖化血红蛋白控制率)。 结果入组患者进行1年规范化管理后,对糖尿病基本知识、并发症、治疗的知晓率明显提高,分别由管理前57.1%、26.8%、19.6%上升至100.0%、92.9%、89.3%,用药依从性由51.9%增高至96.4%。糖尿病相关症状由75.0%下降至19.6%,空腹血糖、糖化血红蛋白、体质量指数等控制达标率分别由管理前的53.6%、53.4%、55.4%提高到管理后的92.9%、91.1%、85.7%,低血糖发生率由管理前的14.3%降低到管理后的3.6%,管理前后差异有统计学意义(P<0.05)。 结论通过全科医师团队对2型糖尿病患者进行社区规范化管理,可增加糖尿病患者对糖尿病知识的认识,提高控制血糖的依从性及达标率。

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  • 成都市苏坡社区居民空腹血糖水平调查分析

    目的了解苏坡社区居民空腹血糖受损(IFG)和空腹高血糖现状及其与年龄的关系。 方法选择2010年10月-2011年10月在中心社区门诊就诊和体检居民5 247例,男2 372例,女2 875例;年龄15~95岁,平均(58±6)岁;并按年龄进行分组,对不同年龄段人群的血糖水平、空腹高血糖及IFG检出率进行统计分析。 结果共收集5 247例,空腹高血糖者11.41%,其中男性为12.27%,女性为10.71%;IFG占11.30%,其中男性为11.55%,女性为11.10%。空腹高血糖和IFG检出率随年龄增加而增大,60~69岁检出率最高,70岁后呈下降趋势。 结论苏坡辖区居民IFG检出率和空腹高血糖检出率高,且随年龄增大呈上升趋势,至70岁后呈下降趋势。

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  • Construction and validation of a model for predicting the risk of post-thrombotic syndrome in patients with acute lower extremity deep venous thrombosis after interventional therapy

    Objective The purpose of this study was to establish and validate a risk prediction model for post-thrombotic syndrome (PTS) in patients after interventional treatment for acute lower extremity deep vein thrombosis (LEDVT). MethodsA retrospective study was conducted to collect data from 234 patients with acute LEDVT who underwent interventional treatment at Xuzhou Central Hospital between December 2017 and June 2022, serving as the modeling set. Factors influencing the occurrence of PTS were analyzed, and a nomogram was developed. An additional 98 patients from the same period treated at Xuzhou Tumor Hospital were included as an external validation set to assess the reliability of the model. ResultsAmong the patients used to establish the model, the incidence of PTS was 25.2% (59/234), while in the validation set was 31.6% (31/98). Multivariate logistic regression analysis of the modeling set identified the following factors as influencing PTS: age (OR=1.076, P=0.001), BMI (OR=1.163, P=0.004), iliac vein stent placement (OR=0.165, P<0.001), history of varicose veins (OR=5.809, P<0.001), and preoperative D-dimer level (OR=1.341, P<0.001). These 5 factors were used to construct the risk prediction model. The area under the ROC curve (AUC) of the model was 0.869 [95%CI (0.819, 0.919)], with the highest Youden index of 0.568, corresponding to a sensitivity of 79.7% and specificity of 77.1%. When applied to the validation set, the AUC was 0.821 [95%CI (0.734, 0.909)], with sensitivity of 77.4%, specificity of 76.1%, and accuracy of 76.6%. ConclusionsThe risk prediction model for PTS established in this study demonstrates good predictive performance. The included parameters are simple and practical, providing a useful reference for clinicians in the preliminary screening of high-risk PTS patients.

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