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解放军预防医学杂志  2016, Vol. 34 Issue (5): 697-699    
  研究论著 本期目录 | 过刊浏览 | 高级检索 |
参加药物临床试验对糖尿病患者治疗效果及认知-行为的影响
刘向阳, 高彬, 黄新喜, 明洁, 赖敬波, 李晓苗, 姬秋和*
第四军医大学西京医院内分泌代谢科, 西安 710032
Effect of Drug Clinical Trials on Therapeutic Effect and Cognitive Behavior of Patients with Diabetes Mellitus
LIU Xiangyang, GAO Bin, HUANG Xinxi, MING Jie, LAI Jingbo, LI Xiaomiao, JI Qiuhe
Department of Endocrinology, Xijing Hospital, the Fourth Military Medical University, Xi'an 710032, China
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摘要 目的 评价糖尿病患者参加药物临床试验对其治疗效果及认知-行为的影响。方法 选取2014年3-12月就诊的2型糖尿病150例,根据患者意愿分为参加药物临床试验组(研究组)与门诊常规治疗组(对照组)各75例。研究组由医生每月门诊随访1次,且每周通过电话随访1次;对照组仅每月门诊常规随访1次,共持续6个月。观察干预前后糖化血红蛋白(HbA1c)、空腹血糖(FPG)、餐后2 h血糖(2hPG)、体质量及糖尿病认知-行为的变化。结果 两组干预后HbA1c、FPG、2hPG较干预前下降,且研究组低于对照组 (P<0.05,P<0.01)。与干预前比较,两组干预后糖尿病知识评分增高,每周运动量增加,每日吸烟量减少,体质量降低,且观察组干预后上述指标变化情况优于对照组(P<0.05,P<0.01)。结论 糖尿病患者积极参加药物临床试验,可提高糖尿病知识水平、促进行为改变,提升患者自我管理能力,有利于血糖及HbA1c达标。
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关键词 2型糖尿病 药物临床试验 血糖 认知行为    
AbstractObjective To evaluate the effect of drug clinical trials on the treatment effect and cognitive behavior of patients with diabetes mellitus. Methods A total of 150 patients with type 2 diabetes mellitus(T2DM) treated during March and December of 2014 were divided into two groups according to the patients' willingness to join the clinical trial group (study group, 75 cases) or the regular treatment group (control group, 75 cases). The study group received telephone follow-up once a week while the control group received conventional follow-up once a month. After 6 months, the changes of HbA1c, fasting plasma glucose (FPG), 2hPG, weight and diabetes cognitive behavior were observed. Results After intervention, HbA1c, FPG and 2hPG in the two groups were all decreased, while the diabetes knowledge score and weekly exercise amount were increased, but the amount of cigarette smoking and weight significantly decreased.All the indicators in the two groups were significantly different (P<0.05, P<0.01).Conclusion Patients with diabetes mellitus participating in clinical trials can improve their level of knowledge, promote the change of life behavior, strengthen the self-management ability, which can help manage theirblood glucose and HbA1c standard.
Key wordstype 2 diabetes mellitus    drug clinical trial    blood glucose    cognitive behavior
     出版日期: 2016-11-02
引用本文:   
刘向阳, 高彬, 黄新喜, 明洁, 赖敬波, 李晓苗, 姬秋和. 参加药物临床试验对糖尿病患者治疗效果及认知-行为的影响[J]. 解放军预防医学杂志, 2016, 34(5): 697-699.
LIU Xiangyang, GAO Bin, HUANG Xinxi, MING Jie, LAI Jingbo, LI Xiaomiao, JI Qiuhe. Effect of Drug Clinical Trials on Therapeutic Effect and Cognitive Behavior of Patients with Diabetes Mellitus. Journal of Preventive Medicine of Chinese People's Liberation Army, 2016, 34(5): 697-699.
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