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目的 了解相关科室对糖尿病诊治情况 ,从而提高对糖尿病的诊疗水平。尤其是对糖尿病诊疗进展和控制标准是否普及。通过综合评估分析 ,有利于科室间协作和诊疗标准的统一。方法 通过电脑调档 ,收集1997年5月～1999年12月本院住院糖尿病病人1527例 ,将首入科室、并发症、检查记录、诊疗情况等逐一登记。用文字方法进行标化后输入VFP数据库 ,利用spss10.0forwindows统计软件进行分析。结果 诊断多数仍以空腹血糖为主要依据(97.58%) ,血糖控制也同样以空腹血糖为多。除内分泌科外 ,相关科室很少测定餐后2h血糖(66.27%)和糖化血红蛋白(33.7%) ,胰岛素(27.98%)和C肽作为诊断与治疗的依据。口服降糖药仍然是治疗2型糖尿病的主要手段(87.04%) ,且以磺脲类为主(21.28%)。首入科室多数以并发症入住(74.3%)。2型糖尿病占96.33 %。结论 发病情况符合目前流行趋势 ,诊疗上与目前糖尿病的进展有明显差异 ,需加强非专科对糖尿病的认识
Objective To understand the relevant departments of diabetes diagnosis and treatment, so as to improve the diagnosis and treatment of diabetes. Especially for diabetes diagnosis and treatment of progress and control standards are popular. Through the comprehensive assessment and analysis, is conducive to the unity of departmental collaboration and diagnosis and treatment standards. Methods A total of 1527 hospitalized patients with diabetes were collected from May 1997 to December 1999 through computerized dialing. The first admission to department, complications, examination records and diagnosis and treatment were registered one by one. After standardization using the text input VFP database, using spss10.0forwindows statistical software for analysis. Most of the results of the diagnosis of fasting blood glucose is still based (97.58%), blood glucose control also fasting blood glucose as much. In addition to the Department of Endocrinology, the relevant departments rarely measured 2h postprandial blood glucose (66.27%) and glycosylated hemoglobin (33.7%), insulin (27.98%) and C peptide as the basis for diagnosis and treatment. Oral hypoglycemic agents are still the main treatment of type 2 diabetes (87.04%), and mainly sulfonylureas (21.28%). Most of them admitted to the department with complications (74.3%). Type 2 diabetes accounted for 96.33%. Conclusions The incidence is in line with the current epidemic trends, there is a clear difference between the current diagnosis and treatment of diabetes and the need to strengthen non-specialist understanding of diabetes