综合心血管和糖尿病管理的远程医疗:一个范围审查
Maria Dulce Estêvão1,2, Mónica Teotónio Fernandes1,2, Ana Luísa De Sousa-Coelho1,2
1School of Health-University of Algarve (ESSUAlg), Faro, Portugal.
Journal of diabetes research
|December 11, 2025
概括
远程医疗对管理2型糖尿病和改善血糖控制充满希望. 然而,由于研究设计的多样性,其对更广泛的心血管风险管理的有效性需要进一步调查.
科学领域:
- 数字健康数字健康
- 心血管医学 心血管医学
- 内分泌学 在内分泌学.
背景情况:
- 心血管疾病 (CVD) 和糖尿病是全球重要的健康问题.
- 这些情况往往并存并相互恶化.
- 远程医疗干预正在成为管理这些疾病的潜在解决方案.
研究的目的:
- 审查关于用于糖尿病管理的远程医疗干预措施的证据,特别关注心血管风险.
- 发现当前研究中的差距.
主要方法:
- 对RCT和观察性研究的系统文献搜索在PubMed,科学网和Scopus.
- 纳入标准集中在远程监控,咨询,教育和药物管理的数字工具上.
- 在选了3041篇文章后,包括了6项研究.
主要成果:
- 远程医疗干预使用了各种各样的数字工具,如移动应用程序,人工智能,电子咨询和远程监控.
- 研究报告说,血糖控制和2型糖尿病的自我管理有所改善.
- 对复合心血管风险的直接评估是有限的,但一些心血管健康参数 (血压,脂质,HbA1c) 显示出积极的趋势.
结论:
- 远程医疗干预显示了改善糖尿病管理和血糖控制的潜力.
- 需要更多的研究来澄清远程医疗在管理更广泛的心血管风险因素的有效性,因为报告和研究设计不一致.
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