多学科团队强化干预对糖尿病高危人群代谢指标的影响

Effect of mttltidisciplinary team intensive intervention on metabolic indexes of diabetes high-risk group

目的观察多学科团队强化干预对糖尿病高危人群代谢指标的影响。方法选择健康体检且自愿参与本研究的糖尿病高危者88例，按随机数字表法分为干预组和对照组。干预组在常规健康教育的基础上，由多学科团队给予强化知识培训、强化进行自我监测、强化信息反馈、加强追踪随访。干预1年后，比较两组研究对象在血糖、血脂、血压、体重、脂肪、肌肉、蛋白、骨总量等方面的变化。结果干预1年后，两组研究对象除HDL差异无统计学意义外，干预组其他指标如体重、BMI、脂肪含量、血压、空腹血糖、糖化血红蛋白、血脂总胆固醇、甘油三酯、低密度脂蛋白均低于对照组俨〈0．05）；干预组Tc、TG、血糖、BMI、血压达标率较对照组高俨〈0．05）。结论多学科团队强化干预对糖尿病高危人群代谢指标有显著的影响，能帮助干预对象建立健康的生活模式，从而减少糖尿病的风险因素。

Objective To observe the effect of the muhidisciplinary team intensive intervention on metabolic indexes of diabetes high-risk group. Methods 88 diabetic patients at high risk for health examination and voluntarily participated in the study, were randomly divided into intervention group and control group. The two groups all took routine health education, intervention group was given by a multidisciplinary team strengthened knowledge training, self-monitoring, information feedback and follow-up. 1 year after the intervention, we compared two groups in glucose, lipid, blood pressure, body weight, fat, muscle, bone, protein and total variation. Results After 1 year of intervention, except for HDL without statistical significance, other indicators such as body weight, BMI, fat, blood pressure, fasting blood glucose, glycosylated hemoglobin, blood total cholesterol, triglyceride and low density lipoprotein in intervention group were lower than those of the control group （P〈0.05）; in intervention group, the TC, TG, glucose, BMI blood pressure control rate, were 25%, 24.8% and 22.4% respectively, higher than those in the control group（P〈0.05）. Conclusion The muhidisciplinary team intensive intervention has significant effect on the metabolic indexes of the diabetes high-risk group. It can help the intervention objects establish a healthy lifestyle, so as to reduce their risk factors for diabetes.