91例2型糖尿病社区健康促进效果观察

Effect of Health Promotion on Type 2 Diabetes Mellitus: A Report of 91 Cases

目的探讨2型糖尿病社区强化管理的模式。方法选择已确诊的91例2型糖尿病患者为观察对象,采用健康知识教育、量化饮食、量化运动和指导合理用药的手段,进行为期3个月的强化管理,观察其中10项指标。结果经过3个月的管理,糖尿病患者的健康意识明显提高,各项指标均有不同程度好转,其中总胆固醇(TC)、高密度脂蛋白(HDL)和低密度脂蛋白(LDL)改变不明显(P>0.05);而血压、体重、腰围、空腹血糖(FBG)、甘油三脂(TG)、糖化血红蛋白(HbAlc)等指标均有明显好转(P<0.01)。结论以饮食、运动、能量平衡为核心的健康促进对2型糖尿病治疗取得了一定效果。

Objective To explore the community strengthened administration pattern of type 2 diabetes mellitus. Methods 91 confirmed type 2 diabetic patients were seleoted and treated with health edocation, quantified diet, quantified exercises and rational medication, 10 indexes were investigated after continuous treatment for 3 months, Results The health eonsclousness of patients was significantly improved, and the 10 indexes were improved at different extents respectively, The variations of total cholesterol （T C）, high density lipoprotein （HDL） and low density lipoprotein （LDL） were not slgnifieant （P 〉 0.05）, while blood pressure, body weight, waist eircumference, fasting blood glucose （FBG）, triglycefides （TG） and glyeosy lated hemoglobin （HbAle） significantly improved （P 〈 0.01）. Conclusions The health promotion focusing on the balance of diet, exercises and energy may have certain effect in the treatment of type 2 diabetes mellitus.