全科诊所中糖尿病的代谢控制：与医院诊所的比较。
Metabolic control of diabetes in general practice clinics: comparison with a hospital clinic.
作者信息
Singh B M, Holland M R, Thorn P A
出版信息
Br Med J (Clin Res Ed). 1984 Sep 22;289(6447):726-8. doi: 10.1136/bmj.289.6447.726.
Abstract
An assessment was made of the degree of metabolic control achieved in diabetic patients attending mini clinics run by general practitioners compared with that in matched diabetic patients attending a hospital clinic. Patients were grouped according to whether they were being treated with diet alone, an oral hypoglycaemic, insulin once daily, or insulin twice daily. Statistical analysis showed no significant difference between patients attending mini clinics and those attending the hospital clinic in retrospective mean blood glucose, retrospective mean glycosylated haemoglobin (HbA1), or prospective HbA1 concentrations. General practitioners providing diabetic care on an organised basis can achieve a degree of glycaemic control in diabetic patients equal to that reached by a hospital clinic.
摘要
对在全科医生开设的小型诊所就诊的糖尿病患者与在医院诊所就诊的匹配糖尿病患者所实现的代谢控制程度进行了评估。患者根据是否仅接受饮食治疗、口服降糖药、每日一次胰岛素治疗或每日两次胰岛素治疗进行分组。统计分析表明，在回顾性平均血糖、回顾性平均糖化血红蛋白（HbA1）或前瞻性HbA1浓度方面，在小型诊所就诊的患者与在医院诊所就诊的患者之间没有显著差异。有组织地提供糖尿病护理的全科医生能够在糖尿病患者中实现与医院诊所相当的血糖控制程度。
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