RESUMEN
From September to October 2018, a questionnaire survey was conducted on the status of diabetes management, basic equipment allocation, complication screening and follow-up, basic drug supply and health education among 136 grassroots institutions in Nanjing. Doctors in the 136 grassroots institutions who had received diabetes specialist training accounted for 18.2% (358/1 968) of total general practitioners. The management rate of diabetes patients was 98.67% (196 352/199 000) , and the standard management rate was 88.63%(174 024/196 352).The screening and follow-up rates of diabetic complications were 89.0%(121/136) and 61.2%(74/121) for glycosylated hemoglobin; 64.7%(88/136), 58.0%(51/88) for urine microalbumin;51.5% (70/136), 62.9%(44/70) for diabetic foot; 44.9%(61/136), 42.6%(26/61) carotid ultrasonography; 32.4%(44/136) and 59.1%(26/44) for fundus examination; 17.6%(24/136) and 33.3%(8/24) for ankle brachial index. The rates of screening for glycosylated hemoglobin, urinary microalbumin, diabetic foot, carotid B ultrasound, fundus and ankle brachial index in urban areas were significantly higher than those in the suburbs (both P<0.05). The diabetes health education was regularly conducted in 92.0%(126/136) of grassroots institutions. At present, the grassroots institutions in Nanjing have established health archives for most diabetic patients and conducted health education regularly, but the professional training and the screening of diabetic complications need to be strengthened.
RESUMEN
From September to October 2018,a questionnaire survey was conducted on the status of diabetes management,basic equipment allocation,complication screening and follow-up,basic drug supply and health education among 136 grassroots institutions in Nanjing.Doctors in the 136 grassroots institutions who had received diabetes specialist training accounted for 18.2％ (358/1 968) of total general practitioners.The management rate of diabetes patients was 98.67％(196 352/199 000),and the standard management rate was 88.63％(174 024/196 352).The screening and follow-up rates of diabetic complications were 89.0％(121/136) and 61.2％(74/121) for glycosylated hemoglobin;64.7％(88/136),58.0％(51/88) for urine microalbumin;51.5％ (70/136),62.9％(44/70) for diabetic foot;44.9％(61/136),42.6％(26/61) carotid ultrasonography;32.4％(44/136) and 59.1％(26/44) for fundus examination;17.6％(241136) and 33.3％(8/24) for ankle brachial index.The rates of screening for glycosylated hemoglobin,urinary microalbumin,diabetic foot,carotid B ultrasound,fundus and ankle brachial index in urban areas were significantly higher than those in the suburbs (both P＜0.05).The diabetes health education was regularly conducted in 92.0％(126/136) of grassroots institutions.At present,the grassroots institutions in Nanjing have established health archives for most diabetic patients and conducted health education regularly,but the professional training and the screening of diabetic complications need to be strengthened.
RESUMEN
Objective To observe the clinical efficacy of wheat-sized moxibustion in treating epigastric pain due to deficient cold of spleen and stomach. Method Fifty-six patients were randomized into a treatment group and a control group, 28 cases in each group. The treatment group was intervened by wheat-sized moxibustion; the control group was by orally taking Omeprazole enteric-coated tablets. For both groups, 7 treatment sessions were taken as a course, and the therapeutic efficacies were evaluated after 2 courses. Result There were significant differences in comparing the total effective rate, pain score, and relapse rate between the two groups (P<0.05). Conclusion It can be confirmed that wheat-sized moxibustion is effective in treating epigastric pain due to deficient cold of spleen and stomach, and it can effectively lower the relapse rate and significantly reduce the sufferings brought by the recurred symptoms.