查詢結果分析
來源資料
頁籤選單縮合
題名 | 以2001年臺灣糖尿病照護管理計畫為基礎比較中、西醫糖尿病治療的效益和順從度=The Comparison of Efficacy& Compliancy between Western Medicine& Traditional Chinese Medicine in the Treatment of Diabetes Mellitus in Taiwan-Based on the Diabetes Case Management Program in Taiwan |
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作 者 | 傅茂祖; | 書刊名 | 中醫藥年報 |
卷期 | 24:1 民95.10 |
頁次 | 頁187-229 |
專輯 | 中醫藥療效評估之研究 |
分類號 | 413.34 |
關鍵詞 | 糖尿病; 2001年糖尿病個案管理; 中醫; Diabetes mellitus; Diabetes cases management program 2001; Traditional clinical Medine; |
語文 | 中文(Chinese) |
中文摘要 | 本計畫於中醫門診中推動「全民健康保險糖尿病醫療給付改善方案」試辦計畫。研究中,共收納108位於中醫門診就診的糖尿病患。以年齡和性別配對,選取西醫門診糖尿病個案管理病人共324位。結果顯示研究組在合併高血壓顯著高於對照組(p<0.03),在血脂異常方面則顯著低於對照組(p<0.001)。而在代謝指標方面,研究組糖尿化血色素和總膽固醇濃度顯著高於對照組(p<0.02, p<0.04)。在不同年齡層的每的三餐攝取總熱量,皆較接受西醫治療的糖尿病患者為低,而且有意義的呈現在40~69歲之間。 研究組中高血壓發生率較低,牽涉到是何種藥物治療(是否有大量高血壓藥物參與其中)、每日運動情形及抽煙史等需要進一步分析外,對晚期併發症而言,無論是微小血管病變或大血管病變,在糖尿病病患合併高血壓時,其發生率份明顯增高很多。因此,在研究組內每日較低熱量的飲食習慣,是否與高血壓的合併症發生率較低的有關係,是很值得進一步探討的。 |
英文摘要 | In order to assess and evaluate the quality of diabetes care in the Traditional Chinese Medicine in Taiwan, a nationally standardized, multidisciplinary- integrated, and patient-center team care program-Diabetes Case Management Program 2001 was implementing on the specific diabetes cohort (400-500 diabetes cases) in the Department of Traditional Chinese Medicine, China Medical University Hospital in last 4 months. We were trying to compare the efficacy and compliancy between western medicine and Traditional Chinese Medicine in the treatment of diabetes. The professional members of diabetes are team were included physicians, in the Traditional Chinese Medicine, registered dietician and diabetes nurse. All the OPD diabetes caring processes were completely followed the working protocol in DCMP 2001 accordingly. This clinical research project was approved by the Institutional Review Board of CMUH. The control group was obtained by matching the diabetes cohort in the western medicine. In the last 4 months, there were 108 diabetes patients recruited and then DCMP 2001 implemented. The control group obtained from the diabetes cohort in the western medicine was comparable to the study group enrolled in the Traditional Chinese Medicine in the aspect of age and sex. The preliminary results showed that the incidence of co-morbidities of hypertension in the study group was lower (p<0.03) and dyslipidemia was higher (<0.001) significantly as compared with control group. In term of metabolic variables in both groups, however, both HgbAlc levels (p<0.002) and total cholesterol concentrations (p<0.04) were significantly higher in the study group even though the differences were trivial. Interestingly, the daily total caloric intakes in a serial age-stratified subgroups, by decade, were lower from less than 40 years of age all the way to above 70 years of age in the study group, whereas, statistically it was demonstrated that there were significantly lower (p<0.01-0.001) in the sub-groups of age between 40 to 70. Nevertheless, the recommendatory total daily caloric intakes were identical between both groups. From the aforementioned preliminary results, it is worthwhile to further analyzed the other confounding factors dealing with the lower incidence rate of hypertension in the study group such as physcial activity, smoking habitudes and even herb medications. Again, lower daily total caloric intake in study group is even more important. It might disclose the eating character, individual's thought and/or life styles in this diabetes cohort. If it relate with the late progression of diabetes, further study is needed. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。