TY -非盟的沈应非盟-王,Fengbin盟——张,兴盟——朱Xiaorou盟——太阳,Qiudan AU -费舍尔,埃德温盟——太阳,Xinying PY - 2018 DA - 2018/05/07 TI -网络干预的有效性在2型糖尿病患者血糖控制:随机对照试验的荟萃分析乔- J地中海互联网Res SP - e172六世- 20 - 5 KW -互联网KW - 2型糖尿病千瓦糖化血红蛋白KW -随机对照试验KW -荟萃分析AB -背景:多年来，互联网作为一个研究领域的普及程度已经大大提高。鉴于其快速发展和日益扩大的全球覆盖率，基于互联网的干预措施似乎为减轻2型糖尿病带来的巨大负担提供了一个有希望的选择。然而，不同研究人员进行的研究提供了相互矛盾的结果，即基于互联网的干预对血糖控制的影响。目的:本荟萃分析旨在总结现有证据，并评估基于互联网的干预措施对2型糖尿病患者血糖管理的总体影响。方法:在PubMed、ScienceDirect和Web of Science中进行系统文献检索。采用糖化血红蛋白值作为血糖控制结果的随机对照试验被考虑。评估偏倚风险和发表偏倚。结果:在492项研究中，有35项被纳入荟萃分析，结果表明，常规护理和基于互联网的干预在终点的加权平均差异(WMD)为-0.426% (95% CI -0.540至-0.312;P <措施)。 Subgroup analyses revealed that intervention duration ≤3 months yielded optimal performance (WMD –0.51%; 95% CI –0.71 to –0.31; P<.001). Combined mobile and website interventions were substantially superior to solely Web-based and mobile-based interventions in glycemic control (combined WMD –0.77%, 95% CI –1.07 to –0.47; P<.001; Web only: WMD –0.48%; 95% CI –0.71 to –0.24, P<.001; mobile only WMD –0.31%, 95% CI –0.49 to –0.14; P<.001). Furthermore, the effect of interventions with automated feedbacks was similar to those with manual feedbacks, and studies with internet-based educational contents were more effective in glycemic control. The assessment revealed a low risk of bias. Conclusions: In conclusion, utilization of internet-based intervention is beneficial for patients with type 2 diabetes mellitus, and taking full advantage of this type of intervention may substantially reduce the incidence of complications and improve quality of life. Trial Registration: International Prospective Register of Systematic Reviews (PROSPERO): CRD42017058032; https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=58032 (Archived by WebCite at http://www.webcitation.org/6yY7eQNHr) SN - 1438-8871 UR - //www.mybigtv.com/2018/5/e172/ UR - https://doi.org/10.2196/jmir.9133 UR - http://www.ncbi.nlm.nih.gov/pubmed/29735475 DO - 10.2196/jmir.9133 ID - info:doi/10.2196/jmir.9133 ER -