2型糖尿病高危人群干预效果观察

Investigation and Intervention of Patients with Type 2 Diabetes and High Risk Status of Diabetes

目的:观察对老年人2型糖尿病高危状态进行干预的有效性。方法:收集2008年1月-2012年6月在笔者所在医院(东莞塘厦地区)就诊和体检的病例资料,对60岁以上人群进行2型糖尿病高危因素筛查,并对筛查的不同人群进行不同干预措施,评价干预的有效性。结果:589例患者获得随访,先前糖耐量及HbA1c正常的患者,204例获得随访,其中有19例新发糖尿病;166例糖尿病患者获随访,仅14例病情恶化或因相关并发症死亡,其余血糖得到良好控制;219例糖尿病高危状态患者获得随访,34例新发糖尿病。结论:对老年人群2型糖尿病及糖尿病高危状态进行积极干预,可改善患者预后,提高生活质量。

Objective： To explore the effectiveness of intervention through the epidemiological survey of elderly patients with type 2 diabetes and high risk status of diabetes.Methods： Epidemiological field investigations were carried out to receive relevant information of patients（over 60 years old） with type 2 diabetes or high risk status of diabetesfrom Juanuary 2008 tO June 2012. Different interventions were taken in different populations.Results： 589 cases were followed up from 9 to 18 months, with an average of 15 months. 204 patients with normal glucose tolerance test results and HbAlc were followed up with 19 cases of new-onset diabetes; 219 patients with high risk status of diabetes were followed up with 34 cases of new-onset diabetes ; 166 patients with type 2 diabetes were followed up with most cases of good glycemic control, and 14 cases of deteriorated condition or serious adverse reaction.Conclusion： Epidemiological survey of elderly patients with type 2 diabetes or high risk status of diabetes is important, and the key to improve the prognosis of patients with diabetes is to strengthen the intervention.