上海市松江区社区糖尿病高危人群分级干预效果

Effect of grading intervention on diabetes high risk group in Songjiang District of Shanghai City

目的分析上海市松江区社区糖尿病高危人群分级干预效果,以期创建一个新型社区糖尿病高危人群管理模式。方法以社区随机对照试验设计,通过比较两组干预前后各指标的变化了解干预效果。结果干预24个月之后,干预组对象总体糖尿病知识知晓率平均上升14.73%,体重指数减少1.1 kg/m2,体重下降2.31 kg,危险计分减少5.7分;对照组对象总体糖尿病知识知晓率平均上升0.52%,体重指数上升0.23 kg/m2,体重增加0.28 kg,危险计分增加2.61分;干预组空腹血糖增加较对照组少0.22 mmol/L,干预组口服葡萄糖耐药试验(OGTT)减少较对照组多0.15 mmol/L。结论分级干预这一新型社区糖尿病高危人群管理模式能帮助高危人群提高糖尿病知识知晓率,减轻体重,降低危险因素计分,但未发现降低血糖值方面的改善。

[ Objective]To analyze the effect of grading intervention on diabetes high risk group in Songjiang District of Shanghai City, so as to establish a new mode for diabetes management in community. [ Methods] Randomized controlled trial in community was conducted, and the intervention effect was observed via comparison of indicator changes in the 2 groups before and after inter-vention. [ Results] After 24 months of intervention, the overall awareness of diabetes increased 14.73% in average, BMI de-creased 1.1 kg/m^2 , body weight decreased 2.31 kg, risk score increased 2.61 in intervention group. The increase in fasting blood glucose of intervention group was 0.22 mmol/L less than control group, while the decrease of OGTT in intervention group was 0.15 mmol/L more than control group. [ Conclusion] The new diabetes management mode in community of grading intervention can help to increase awareness of diabetes knowledge, to reduce weight, and decrease the risk factors scoring, but not in lowering blood glu-cose levels.