中医体质辨识融入社区健康管理对代谢综合征的防治效果分析

Effect of Integration of Chinese Traditional Constitution Identification with Community Health Management on Metabolic Syndrome Patients

目的探讨将中医体质辨识融入到社区健康管理对代谢综合征(MS)的短期、长期防治效果。方法按照中华医学会糖尿病分会(CDS)的MS诊断标准,对西环社区卫生服务中心辖区范围内年龄>20岁并有医保的常住人口进行筛选,将符合条件的416例患者分为住院治疗组(200人)和社区干预组(216人)。住院治疗组干预治疗7～14 d后医院门诊定期随访治疗观察;社区干预组在中心同样用药物治疗干预7～14 d的基础上,根据中医体质辨识后强化MS患者的长期社区健康管理,并成立了MS病友俱乐部,对两组在相同时间段监测体质量、血脂、血糖、血压等客观指标的变化情况。结果经中医体质辨识后制定的个性化健康处方干预的社区干预组不良的生活方式明显改变,其知识、健康管理水平显著提高,MS的各项指标明显改善。结论个性化的社区干预从上游因素扼制住心脑血管疾病和糖尿病的危险因素,减少了MS所致的靶器官损伤,提高了人们的生存质量,减轻了其经济负担,具有良好的经济和社会效益。

Objective To investigate the long - term and short - term preventive effect of integration of Chinese tradi- tional constitution identification with community health management on patients with metabolic syndrome （MS） . Methods According to the diagnostic criteria by Chinese Diabetes Society （ CDS）, residents who were more than 20 years old and had medi- care were screened, 416 eligible patients were randomized into hospitalization treatment group （n = 200） and community inter- vention group （n =216）. The patients in the hospitalization group were regularly following-up after 7 - 14 days hospitalized treatment; while the patients in the community group were give the same medication and the same follow -up, additionally their long - term community management were strengthened by Chinese traditional constitution identification and construction of MS pa- tients＇ club. The changes of body mass index, lipid, glucose, blood pressure, etc. were observed for patients of both groups during the same time. Results The patients in the community group who were give individualized intervention according to the resuit of their Chinese traditional constitution identification remarkably changed their unhealthy life style, their levels of knowledge and health were also evidently increased, and their indicators of MS were significantly improved. Conclusion Presonalized community intervention can curb the dangerous factors for cardiovascular and cerebrovascular diseases at early stage, lessening the damage to the targeted organs, improving the patients＇ quality of life, and reducing the economic burden. It is of good economic and social results.