不同社区一体化管理时间对糖尿病患者血糖、血脂指标控制的影响

Effects on community integration management for diabetes in GLU,bloodlipid index control

目的探讨社区一体化管理对不同年龄及性别的糖尿病患者血糖(GLU)、血脂指标控制的影响。方法选择本社区2009年3月～2011年3月纳入社区一体化管理的糖尿病患者240例为研究对象,其中研究组130例患者纳入社区一体化管理2年,对照组110例患者纳入社区管理1年,全程对患者血糖、血脂等进行监测,并比较两组管理效果。结果两组空腹血糖≥7.0 mmol/L、糖化血红蛋白≥6.5%、总胆固醇≥5.2 mmol/L、三酰甘油≥1.5 mmol/L、高密度脂蛋白≤1.04 mmol/L、低密度脂蛋白≥3.12 mmol/L的患者比较,差异有统计学意义(P<0.05)。两组≤50岁患者各指标比较,差异无统计学意义(P>0.05);>50岁患者各指标比较,差异有统计学意义(P<0.05)。结论社区一体化管理可以有效控制糖尿病患者血糖、血脂情况,尤其是对于>50岁的患者,控制效果更明显,有助于稳定病情,减少并发症。

Objective To study the effects on community integration management for diabetes in GLU, bloodlipid index control. Methods 240 patients with diabetes in this community from March 2009 to March 2011 were given the community integrated management as the research object, the 130 patients of study group were included the community integration tube 2 years, the 110 patients of control group were included the community management 1 year. The GLU, bloodlipid of patients were monitored, and the effectiveness of management between the two groups were compared. Results The differ- ence of percentage of fasting blood-glucose ≥7.0 mmol/L, glycosylated hemoglobin quartile ≥16.5%, total cholesterol quartile ≥15.2 mmol/L, quartile triglycerides≥ 1.5 mmol/L, high-density lipoprotein cholesterol ≤ 1.04 mmol/L, low density lipoprotein quartile ≥3.12 mmol/L between the two groups were statistically different （P 〈 0.05）, each index of patients （≤ 50 years old） in two groups was no significant difference （P 〉 0.05） and that of patients （〉 50 years old） in two groups was significant difference （P 〈 0.05）. Conclusion Community integration management can effectively control blood sugar, blood fat of patients with diabetes, especially for the patients over 50-years old, the control effect is more apparent, help to stable condition, and reduce the complications.