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糖尿病是目前尚无根治方法的慢性内分泌-代谢疾病,在发达国家已被列为继心血管疾病及肿瘤之后的第三大病,且在发展中国家中发病率有逐年增高的趋势。糖尿病及其并发症的致死率和致残率已成为医学家十分棘手的问题,对此给予有效预防和治疗,成为糖尿病学者的重要课题。我们经过10余年中西医结合诊治糖尿病临床和科研工作,积累了一些认识和体会,愿与同道交流,以期共同提高。 1 建立完整的专科门诊诊疗制度 鉴于糖尿病的终身性和其并发症的复杂性,首先建立完整的专科门诊病历是非常关键的第一步。在我们现记录完整的3000余份专科门诊病历中,给予系统归类和总结发现,新近发病而第一次就诊的患者仅占20％,多数患者已是就医多处,因而病史繁杂,这样给予详细记录患者的就诊过程,了解病情和治疗情
Diabetes is a chronic endocrine-metabolic disease that has no cure at present. It has been listed as the third most serious disease after cardiovascular disease and cancer in developed countries, and the incidence in developing countries has been increasing year by year. Mortality and morbidity of diabetes mellitus and its complications have become a very difficult problem for medical scientists, and effective prevention and treatment of them has become an important topic for diabetes scholars. After more than 10 years of clinical and scientific research on the diagnosis and treatment of diabetes mellitus, we have accumulated some understanding and experience and are willing to exchange ideas with fellow-people so as to improve together. Establishing a Complete Outpatient Clinic System In the light of the long-term nature of diabetes and its complications, it is a crucial first step to establish a complete outpatient medical chart first. In the more than 3,000 specialist out-patient medical records that we have now recorded, the system is classified and summarized. Only 20% of the patients who have been newly admitted to the hospital for the first time and most of the patients are already hospitalized have complicated medical history so that Detailed records of the patient’s treatment process, to understand the condition and treatment