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GP模型在糖尿病性卒中患者可控危险因素管理中的应用可有效改善预后并降低复发率。

The Application of the GP Model to Manage Controllable Risk Factors in Stroke Patients with Diabetes Can Effectively Improve the Prognosis and Reduce the Recurrence Rate.

作者信息

Zou Zhehua, Liu Kai, Li Yunjing, Yi Shuangyan, Wang Xiaotang, Yu Changying, Zhu Haiying

机构信息

Department of General Practice, The First Hospital of Qinhuangdao, Hebei 066000, China.

Department of Neurology, Qinhuangdao Haigang Hospital, Hebei 066000, China.

出版信息

Evid Based Complement Alternat Med. 2022 Aug 5;2022:5413985. doi: 10.1155/2022/5413985. eCollection 2022.

Abstract

OBJECTIVE

The aim of this study is to examine the impacts of general practice model (GP) on prognosis and recurrence of stroke patients with diabetes.

METHODS

Ninety patients with stroke combined with diabetes mellitus admitted to our hospital from June 2019 to June 2020 were selected for the study and were randomly and equally divided into 45 cases each in the control and experimental groups for the prospective trial. The patients in the control group received routine treatment while those in the experimental group were treated with GP model. Comparison in treatment effects, patients satisfaction, psychological status, quality of life, glycosylated hemoglobin level, and stroke recurrence was carried out between the two groups.

RESULTS

The experimental group showed markedly better treatment effects ( < 0.05), higher satisfaction degree ( < 0.05), higher HAD ( < 0.05), GQOLI-74 score ( < 0.05), and BI index ( < 0.05), lower level of glycosylated hemoglobin ( < 0.05), and much lower recurrence rate ( < 0.05), as compared to the control group.

CONCLUSION

The application of the GP model to manage controllable risk factors in stroke patients with diabetes can effectively improve the prognosis and reduce the recurrence rate, which is worthy of clinical application and promotion.

摘要

目的

本研究旨在探讨全科医疗模式(GP)对糖尿病合并脑卒中患者预后及复发的影响。

方法

选取2019年6月至2020年6月我院收治的90例脑卒中合并糖尿病患者进行研究,将其随机等分为对照组和试验组,每组45例,进行前瞻性试验。对照组患者接受常规治疗,试验组患者采用GP模式治疗。比较两组的治疗效果、患者满意度、心理状态、生活质量、糖化血红蛋白水平及脑卒中复发情况。

结果

与对照组相比,试验组的治疗效果显著更好(P<0.05),满意度更高(P<0.05),HAD评分更高(P<0.05),GQOLI-74评分更高(P<0.05),BI指数更高(P<0.05),糖化血红蛋白水平更低(P<0.05),复发率更低(P<0.05)。

结论

应用GP模式管理糖尿病合并脑卒中患者的可控危险因素,可有效改善预后,降低复发率,值得临床应用与推广。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7d5/9374552/21ee1c5a7982/ECAM2022-5413985.001.jpg

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