2型糖尿病社区管理效果评价

Evaluation of Community management of type 2 diabetes

目的:探讨社区强化管理对2型糖尿病患者的防治效果。方法:抽取到已纳入慢性病管理的2型糖尿病患者80例,随机分为强化管理治疗组和一般管理组,进行为期1年的干预。强化管理治疗组在合理药物治疗的基础上,结合健康教育、定期复查及生活方式等强化干预方法,一般管理组为合理药物治疗及一般性健康教育,定期对所有2型糖尿病患者的体质指数(BMI)、血压、血脂、空腹血糖、餐后2 h血糖、糖化血红蛋白(HbA1c)监测和记录。结果:(1)强化管理治疗组1年后空腹血糖值平均为(7.32±0.71)mmol/L,低于一般管理组的(8.87±1.22)mmol/L,差异有统计学意义(P<0.01);(2)强化管理治疗组餐后血糖值平均为(10.34±0.54)mmol/L,低于一般管理组的(11.23±0.80)mmol/L,差异有统计学意义(P<0.01);(3)强化管理治疗组HbA1c值平均为(7.34±0.52)%,低于一般管理组的(8.22±0.70)%,差异有统计学意义(P<0.01)。结论:糖尿病的社区长期强化管理治疗较一般管理更能提高糖尿病患者血糖的控制率,社区防治模式对于改善患者的生活质量、预防糖尿病并发症具有积极意义。

Objective To investigate the effect of strengthen management on prevention and control in patients with type 2 diabetes in the community. Method To choose 80 patients with type 2 diabetes who have been incorporated into the disease management of the community center, were randomly divided into the intensified group and the general management. To strengthen the management of the intensified group on the basis of rational drug therapy, combined with health education, regular review and way of life, strengthen the intervention methods,such as general management for reasonable drug treatment and general health education,The course was 1 years,during which the patients＇ body mass index （BMI） ,blood pressure, fasting blood sugar （FBS） ,2h -postprandial blood sugar （2 h -PBS） , glycosylated hemo- globin （HbAlc） were observed and recorded. Results （1）After one Year strengthen the management,the average FBS values in the intensified group was （7. 32 ±0. 71 ） mmol/L,It was lower than the general management group （8.87 ±1. 22） mmoL/L,the difference was statistically significant （P 〈 0.01 ） ;（2）the average 2h -postprandial blocd sugar （2 h -PBS） values in the intensified group was （ 10. 34 ± 0. 54） mmol/L, It was lower than the general management group （ 11.23 ± 0. 90） retool/L, the difference was statistically significant （ P 〈0. 01） ; （3） the average HbAle values in the intensified group was （7.34 ± 0. 52） % ,It was lower than the general management group （8.22 ±0.70） %, also there was statistically significant difference （P 〈 0. 01 ）. Conclusion The longterm strengthening management of diabetes treatment in community can improve blood sugar control in diabetic patients, community prevention and control mode to improve the patient＇s quality of life ,the prevention of diabetes eomplications has positive significance.