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目的通过对乌鲁木齐市2008-2009年高血压、糖尿病患者管理现状的分析,为建立一套适合乌鲁木齐市的慢性病监测报告管理系统提供科学的依据。方法采用《中国高血压防治指南》、《糖尿病社区防治方案》的要求及标准,对2008-2009年乌鲁木齐市高血压、糖尿病患者管理季报表进行数据整理、分析。结果与2008年相比,2009年乌鲁木齐市高血压、糖尿病患者建档率分别提高了2.86%和11.19%,管理率分别提高了3.28%和6.68%,但规范管理率却分别下降了3.05%和11.3%。经过对慢性病病人一年的管理,血压控制率为1.24%,血糖控制率为1.56%。结论与2008年相比,2009年虽然慢性病患者的管理覆盖面有所扩大,但却存在着偏重数量而忽略了管理质量、慢性病患者控制率低下的问题。乌鲁木齐市的慢性病防治工作任重而道远,亟待建立起一套适合市慢性病患者监测管理的系统。
Objective To provide a scientific basis for establishing a set of management system of chronic disease monitoring report suitable for Urumqi by analyzing the present situation of hypertension and diabetes management in Urumqi from 2008 to 2009. Methods According to the requirements and standards of “Guideline for Prevention and Treatment of Hypertension in China” and “Prevention and Control Plan for Diabetes Community”, the data of the quarterly management of hypertension and diabetes in Urumqi from 2008 to 2009 were collected and analyzed. Results Compared with 2008, the filing rates of hypertensive and diabetic patients in Urumqi increased by 2.86% and 11.19%, respectively, and the management rates increased by 3.28% and 6.68% respectively, but the standardized management rates decreased by 3.05% and 11.3%. After a year of chronic disease management, blood pressure control rate of 1.24%, blood glucose control rate of 1.56%. Conclusions Compared with 2008, although the management coverage of patients with chronic diseases has been expanded in 2009, there is a problem of over-emphasis on quantity and neglect of management quality and low control rate of patients with chronic diseases. Urumqi, chronic diseases prevention and control work long way to go, it is urgent to establish a set for the city of chronic disease monitoring and management system.