社区干预2型糖尿病效果分析

Study of the Effectiveness of Community Intervention on Type-2 Diabetic Patients

目的通过对比2型糖尿病患者社区干预前后的代谢和血压控制等情况，分析社区干预的效果。方法选择在我社区卫生服务中心就诊的2型糖尿病患者117例。在常规药物治疗的基础上采用社区干预，社区干预主要包括糖尿病知识讲座及普及，指导患者合理饮食、运动，跟踪随访病人病情。观察时间为1a。对比分析社区干预前后患者的代谢和血压控制情况。结果2型糖尿病患者社区干预1a后，代谢指标及血压达标率均有不同程度的改善，其中空腹及餐后2h血糖、糖化血红蛋白、血压达标率均有明显上升。结论患者掌握必要的相关知识，社区医生对病情全程干预，对于2型糖尿病的治疗颇为有益。提示社区干预在2型糖尿病治疗过程中效果好，成本低廉。

Objective To study the change of metabolism and blood-pressure of type-2 diabetic （T2DM） patients before and after community intervention. Methods One hundred and seventeen T2DM cases were included in this study from March, 2006 to March, 2007. They had received a 1-year length community intervention in additional to receive their routine medical care. Community intervention measures included of receiving lectures of diabetes knowledge, guidance of diet and guidance of exercise. Following indices were compared, including body mass index （BMI）, blood pressure, fasting blood glucose concentration, blood glucose concentration two hours after taking food, concentrations of HbA1c, TC, TG HDL-C and LDL-C. Results After one year intervention, fasting blood glucose concentration, blood glucose concentration two hours after taking food, HbA1c and blood pressure were obviously increased. Conclusions Community intervention for T2DM was effective.