重庆医学2012，Vol.41Issue(10)：975-977,3.DOI:10.3969/j.issn.1671-8348.2012.10.016
上海某社区卫生院转诊糖尿病患者的调查分析
Clinical analysis of transferred diabetic patients from Fengxian Community Health Centers in Shanghai
摘要
Abstract
Objective To investigate the clinical status of diabetic patients transferring from Community Health Centers to Fengxian medical center in Shanghai. Methods 466 inpatients were analyzed from Jan. 2009 to Dec. 2010 at Fengxian Centeral Hospital in Shanghai, including laboratory assessments of blood glucose, lipid and HbAlc,acute and chronic complications, height and body weight. Questionnaire was made on diagnosis, treatment and the advice about transferring from Community Health Center. Results 138 patients were transferred directly from Community Health Center(29. 61%),and 328 patients indirectly(70. 38%). 90 cases had acute complications (19. 31%), 311 cases had chronic complications(66. 74 %) , 101 cases had infection(21. 67%) ,and 93 cased had other diseases (19. 96%). 330(70. 82%)patients had severe hyperglycemia and needed intensive insulin treatment. Directly transferred patients had higher systolic blood pressure (SBP) and hypoglycemia incidence,and indirectly transferred patients had higher serum creatine,diabetic peripheral vascular disease and retinopathy incidence(P<0. 05). Conclusion Most diabetic inpatients had complications or infection in endocrinology department of Fengxian Centeral Hospital in Shanghai. It is urgent that diabetic patient transfer should be normalized between Community Health Centers and central hospital, in order to lowering the incidence and damage of acute and chronic complications in diabetic patients.关键词
糖尿病/病人转诊/管理Key words
diabetes mellitus/ patient transfer/ management引用本文复制引用
金志萍,于雪梅..上海某社区卫生院转诊糖尿病患者的调查分析[J].重庆医学,2012,41(10):975-977,3.基金项目
上海市卫生局资助项目(2009225) （2009225）
上海市奉贤区科委资助项目(奉科0908011). （奉科0908011）
