徐建祥 李娟娟 郭桂喜 李慧 张磊 姜国辉 董砚虎

[摘要]目的 探讨住院T2DM患者不同血糖监测频次对住院天数、医疗花费及血糖控制情况方面的影响。 方法 随机选取在我院住院治疗的T2DM患者1000例，根据住院期间血糖监测频数，分为5点血糖监测组和7点血糖监测组。所有患者在空腹血糖≤7.0mmol/L，餐后血糖＜10.0mmol/L，血糖平稳2d后出院。比较两组患者住院天数、医疗花费及血糖控制情况方面的不同。 结果 7点血糖监测组患者较5点血糖监测组住院天数明显缩短、总住院费用、药品费用、治疗费用明显降低（P＜0.05），但两组患者检查化验费用及日治疗费用差异无统计学意义（P＞0.05）。在血糖控制方面，7点血糖监测组较5点血糖监测组可以更有效地控制血糖平稳达标，减少血糖波动。 结论 住院T2DM患者每日7点血糖监测明显缩短住院天数、降低住院花费，有效控制血糖，减少血糖波动。

[关键词] 2型糖尿病；血糖监测；医疗花费

[中图分类号] R587.1   [文献标识码] A   [文章编号] 2095-0616（2014）08-23-03

Investigation of the different frequency of blood glucose monitoring for medical cost and glycemic control in hospitalized patients with T2DM

XU Jianxiang1  LI Juanjuan1  GUO Guixi1  LI Hui1  ZHANG Lei2  JIANG Guohui2DONG Yanhu2

1.Clinical Medicine of Weifang Medical College, Weifang 261042, China; 2.Qingdao Endocrinology Diabetes Hospital, Qingdao 266071, China

[Abstract] Objective To investigate the effect of frequency of blood glucose monitoring on the number of days of hospitalization, medical costs and glycemic control in hospitalized patients with T2DM. Methods 1000 patients with T2DM patients were randomly selected in our hospital, according to the number of daily monitoring of blood glucose during hospitalization, blood glucose monitoring group divided 5 and 7 point blood glucose monitoring group. Two groups patients received lifestyle intervention guidance and regular hypoglycemic therapy, all patients in the FPG≤7.0mmol/L, PPG＜10.0mmol/L, patients discharged from hospital after blood glucose stable two days. Comparison of two groups of patients hospital stay, health care costs and glycemic control in different situations. Results 7 point glucose monitoring group was significantly shorter hospital stay and total hospital costs, drug costs, treatment costs, day hospitalization cost was significantly lower (P＜0.05), but two groups of patients laboratory examination fee and the cost of treatment days was no significant difference P＞0.05). In glycemic control, 7 point glucose monitoring groups can more effectively control blood sugar steady and compliance, reduce the incidence of hypoglycemia. Conclusion Daily 7 point glucose monitoring in hospitalized patients with T2DM can significantly shorten the length of hospital stay, reduce hospital spending, effectively control blood sugar and reduce the incidence of hypoglycemia.

[Key words] Type 2 diabetes; Blood glucose monitoring; Medical costs

糖尿病的治疗是以糖尿病教育、运动治疗、饮食控制、药物治疗及血糖监测为主的综合管理，其中血糖监测是糖尿病综合治疗的基石[1]。血糖监测可以提示患者血糖控制情况，是调整治疗方案的重要依据[2-3]。本研究主要探讨住院T2DM患者血糖监测频次对住院天数、医疗花费及血糖控制情况方面的影响。

1 资料与方法

1.1 一般资料

从我院2006~2013年期间住院的T2DM患者中随机选取1000例患者，男490例，女510例，年龄（61.6±10.5）年，病程（6.7±4.3）年。入选者符合1999年WHO糖尿病诊断标准。排除标准：1型糖尿病、糖尿病等急性并发症、合并严重血管及神经病变者等。……