健康管理对2型糖尿病患者的疗效评价

目的:对糖尿病患者实施健康管理,探索有效的糖尿病患者的健康管理模式。方法:随机选取糖尿病患者80名,分为干预组40人与对照组40人。所有患者建立健康档案,并记录身高、体重、体重指数、腰围、臀围、腰臀比、血压、空腹血糖、餐后2h血糖、糖化血红蛋白、血脂等客观指标。干预组实施为期6个月的健康管理,干预3个月及结束后,两组患者再次测定相关客观指标。结果:干预组经健康管理后,其空腹血糖值、餐后2h血糖值、糖化血红蛋白、血压值、血脂值、体重指数均有显著下降,其客观指标比较及与对照组比较差异有统计学意义(P<0.05)。结论:实施系统规范的健康管理能有效改善糖尿病患者的整体健康状况及生活质量,其健康管理模式值得进一步探讨和推进。

Objective：To implement the health management for diabetes patients, and to explore the effective management pattern for the patients with diabetes mellitus. Methods： Total 80 randomly selected outpatients with diabetes mellitus were divided into intervention group （n=40） and control group （n=40）. Health examination was conducted in these patients. The examination indexes were body height, weight, BMI, waist and hip circumference, twist to hip ratio, blood pressure, fasting plasma glucose, post - challenge plasma glucose, Hbale, plasma lipid,etc. The patients of intervention group were intervened for 6 months,After 3 and 6 months health management intervention, questionnaire investigation and health examination were conducted again in the patients of the two groups. Results： After healthy manage for the intervention group, FPG, post-challenge plasma glucose, HbAle, blood pressure, plasma lipid, BMI, of intervention group were significantly decreased, and there were statistically significant differences （P〈0.05）.Conelusions： Systematic health management pattern can improve the levels of the whole health and living quality. Diabetes health management pattern is worth using widely and further studying.