社区家庭访视对代谢综合征相关组分的影响

Effect of community-based family visit on metabolic syndrome

目的探讨社区家庭访视对代谢综合征相关组分的影响。方法将220例代谢综合征患者（以2004年中华医学分会糖尿病学会推出的适合中国人的代谢综合征诊断标准为依据）随机分为家庭访视组和对照组各110例；家庭访视组由专职医务人员进行定期家庭访视，对照组不作家庭访视干预。1年后进行家庭访视干预前后、两组问的相关指标比较。结果家庭访视干预后代谢综合征患者收缩压、舒张压、甘油三酯、总胆固醇、低密度脂蛋白胆固醇、24h尿白蛋白定量均显著降低，差异有统计学意义（P〈0．05）；高密度脂蛋白胆固醇较家庭访视前显著提高，差异有统计学意义（t=7．921，P〈0．05）；体重指数无明显变化。家庭访视干预前后代谢综合征患者达标情况以收缩压、舒张压、甘油三酯最理想，其次为空腹血糖、餐后2h血糖、总胆固醇、高密度脂蛋白胆固醇、24h尿白蛋白定量的达标情况。家庭访视组与对照组比较除体重指数、总胆固醇外相关指标均有明显改善（P〈0．05）。结论家庭访视干预对代谢综合征各代谢指标均有改善，是一种有效的干预方法。

Objective To determine the effect of community family visit on patients with metabolic syndrome. Methods According to the diagnostic criteria set up by the Diabetes Society of the Chinese Medical Association 220 patients with metabolic syndrome were equally divided into two groups： family visit group and control group. The family visit group was followed up by full-time medical staff regularly, while not interfering with the control group. After one year before and after the intervention, the relevant indicators were compared between the two groups. Results The levels of SBP, DBP, TG, TC, LDL-ch,24-hour urine protein were lowered markedly by intervention （ P 〈 0.05 ）. HDL-ch increased compared to the previous （ t = 7. 921 ,P 〈 0. 05）, but body mass index were not significantly changed. Before and after the intervention the levels of SBP, DBP, TG were ideal. This was followed by significant improvement of fasting plasma glucose （FPG）, two hours after meal blood glucose （2 hPG）, TC, HDL set standards,24-hour urine protein body mass index. Compared with the control group, the family visit group showed significant improvement of related indicators except body mass index and TC. Conclusion Intervention by family visit is effective in improving the vales of metabolic syndrome.