涂娜 刘沙沙 许玄 王薇 周敏

[摘要] 目的 探討基于移动互联网的疾病管理及科普教育对2型糖尿病患者应用效果评价。 方法 选取2018年1～5月在我院就诊的2型糖尿病患者160例作为研究对象，随机分成观察组和对照组，其中观察组80例，采用基于移动互联网联合科普教育的疾病管理模式，对照组80例，采用传统糖尿病患者管理模式。对比分析两组患者治疗前后空腹血糖（FPG）、餐后2 h血糖（2 hPG）、糖化血红蛋白（HbA1c）等指标;统计两组患者住院期间情况和并发症的发生情况;对两组患者治疗前后生活质量进行评估。 结果 观察组患者FPG经治疗后恢复情况优于对照组（P<0.05）;2 hPG和HbA1c均恢复较好且优于对照组（P<0.05）;观察组药物使用剂量、住院时间、发病次数和治疗费用均低于对照组（P<0.05）;观察组的并发症发生率明显低于对照组（P<0.05）;两组患者治疗前生活质量无明显差异（P>0.05），观察组患者经治疗后生活质量较对照组明显提高（P<0.05）。 结论 采用移动互联网的疾病管理及科普教育的方式对2型糖尿病患者进行血糖控制，有效减少糖尿病患者并发症的发生，此方法简便快捷且易操作，值得推广应用。

[关键词] 2型糖尿病;移动互联网;科普教育;生活质量;血糖控制

[中图分类号] R587.1          [文献标识码] B          [文章编号] 1673-9701（2019）18-0157-04

[Abstract] Objective To evaluate the application effect of disease management and popular science education based on mobile internet on patients with type 2 diabetes. Methods A total of 160 patients with type 2 diabetes mellitus who were admitted in our hospital from January to May 2018 were randomly divided into observation group and control group. Among them， 80 patients in the observation group were treated with the disease management model based on mobile internet and popular science education. 80 patients in the control group were treated with the traditional diabetes patient management model. The fasting blood glucose（FPG）， postprandial 2 h blood glucose（2 hPG）， glycosylated hemoglobin（HbA1c） and other indicators between two groups before and after treatment were comparatively analyzed. The situation during hospitalization and the incidence of complications in the two groups was summed. The quality of life of patients before and after treatment was assessed. Results The recovery of FPG in the observation group was better than that in the control group after treatment（P<0.05）. Both 2 hPG and HbA1c in the observation group recovered better than those in the control group（P<0.05）. The dose of the drug， the length of hospital stay， the number of cases and the costs in the observation group were lower than those of the control group（P<0.05）. The incidence of complications in the observation group was significantly lower than that in the control group（P<0.05）. There was no significant difference in the quality of life between the two groups before treatment（P>0.05）. The quality of life in the observation group was significantly higher than that of the control group after treatment（P<0.05）. Conclusion The use of mobile internet disease management and popular science education to control blood glucose in patients with type 2 diabetes， effectively reduce the incidence of complications in diabetic patients， and this method is simple， quick and easy to operate. It is worthy of popularization and application.

[Key words] Type 2 diabetes; Mobile internet; Popular science education; Quality of life; Blood sugar control

近年来，随着人们生活水平和饮食质量的提高，糖尿病的发病率和致残率逐年攀升，严重危害人类的身体健康[1]。据调查，截止到目前，全球糖尿病患者约3亿，若按目前的增长速率，到2030年糖尿病患者人数将超过5亿人次[2]。糖尿病是一种慢性、非传染性高且终身性的疾病，传统的治疗方式就是进行长期药物治疗并对其血糖进行监测和控制[3]。但是传统的治疗方式偏向于对糖尿病治疗，并未对患者建立完整的疾病管理体系[4，5]。因此，为对糖尿病患者进行有效且合理的健康管理，采用互联网技术对糖尿病患者进行及时有效的血糖管理和健康指导，从而大大提高对糖尿病患者的治疗和管理效率。……