代谢综合征社区干预效果观察

Observation on the effect of community intervention on metabolic syndrome

[目的]探索代谢综合征(MS)社区干预、防治的适宜技术,提高对MS的防治、干预效果。[方法]根据中华糖尿病学会(CDS)制定的MS判断标准,对受检对象进行甄别、筛选,将符合MS判断标准的328名对象随机分为强化干预组181人和一般干预组147人,观察干预前后两组人群空腹血糖、糖化血红蛋白、血压、血脂、尿微量蛋白、体重指数(BMI)等指标的变化情况。[结果]通过1年半不同干预模式的干预后,两组人群的空腹血糖、糖化血红蛋白、糖调节异常转归、血压、血脂等方面差异均有统计学意义。尿微量白蛋白、BMI转变方面差异无统计学意义。[结论]通过社区强化干预可降低MS伴糖尿病患者的血糖、糖化血红蛋白水平,降低MS伴高血压者的血压水平,调节MS伴血脂紊乱者的血脂水平,同时可能降低糖调节异常转变为糖尿病以及降低糖尿病发病率。

[ Objective] To explore an appropriate method for intervention, prevention and control of metabolic syndrome（ MS ） in community and improve its effect in control of MS. [ Methods ] According to the criteria of MS given by Chinese Diabetes Society （ CDS ）, 328 people who met the criteria were randomly divided into strength ened intervention group and general intervention group. Changes in fasting blood glucose, glycated hemoglobin, blood pressure and lipids, urine protein, and BMI index were observed before and after the intervention. [ Results ] There was 181 people in strengthened intervention group and 147 people in general group. There were significant differences between the two groups in fasting blood glucose, glycated hemoglobin, abnormal glucose regulation vesting, blood pressure and lipids. Changes in albumin in the urine and BMI was not significant. [ Conclusion] Enhanced community - based intervention can reduce the MS associated with diabetes blood glucose and glycated hemoglobin level, can reduce blood pressure in those with high blood pressure, regulate blood lipid disorders, may reduce glycated hemoglobin and reduce diabetes morbidity.