多层次简单结构化管理模式对2型糖尿病患者血糖控制的影响

目的评价部队多层次简单结构化管理模式对2型糖尿病患者血糖控制的影响。方法调查部队患者486人作为观察组，地方患者398人作为对照组，参照（（2010年中国糖尿病防治指南》推荐标准，评价其血糖、血压、血脂控制水平的差异。结果观察组空腹血糖、餐后2小时血糖、糖化血红蛋白、血压、低密度脂蛋白控制的达标率分别为47．5％，28．8％，52．7％，47．5％，44．0％，显著高于对照组的43．0％，28．1％，41．2％，30．4％，34．4％（P〈0．05）。结论空军驻京部队干部2型糖尿病代谢指标控制水平优于或不差于国内、国外糖尿病控制水平，提示多层次简单结构化管理模式的运行对患者疾病的控制有明显优势。

Objective To evaluate the influence of blood sugar control in patients with type 2 diabetes from the simply multi-level structured management model of the Air Force garrison troops.Methods 486 investigated patients from the troops were chosen as the observation group and 398 patients were recruited as the control group.Referring to recommended standards of Chinese Dia- betes Prevention Guide in 20tO,we evaluated the patients,differences of blood sugar,blood pressure and lipid.Results The rates of standard-obtained of fasting glucose,2-hour postprandial blood glucose,glycosylated hemoglobin,blood pressure and low-density lipoprotein （LDL） were 47.5%,28.8% ,52.7%,47.5%,g4% ,significantly higher than those from the control group whose rates were 43%,28.1%,41.2%,30.4%,34.4%（P 〈 O.05）.Conclusion The control level of metabolic indicators of the cadres,with type 2 dia- betes of the Air Force Garrison troops in Beijing was better than or not worse than domestic and foreign diabetes control levels, suggesting the simple multi-level structured management model had obvious advantages in disease control for patients.