社区综合干预管理模式在糖耐量异常患者中的应用效果观察

Application effect observation of community comprehensive intervention management mode in patients with impaired glucose tolerance

目的观察社区综合干预管理模式在糖耐量异常患者中的应用效果。方法选取2014年7月在我社区健康村体检中初筛出的68例糖耐量异常患者按随机数字表法分成观察组和对照组,每组各34例。对照组实行社区常规管理模式,观察组采用社区综合干预管理模式。对比两组干预前、后血糖(FPG、2h PBG、Hb Al C)变化情况及糖尿病发生率。结果两组干预前血糖及血脂各指标水平比较,差异无统计学意义(P>0.05);观察组干预后FPG、2h PBG、Hb Al C均明显低于对照组,两组比较差异有统计学意义(P<0.05);观察组糖尿病发生率明显低于对照组,差异有统计学意义(P<0.05)。结论社区综合干预管理模式能有效的改善糖耐量异常患者血糖水平,从而降低糖尿病发生率。

Objective To observe the effect of community comprehensive intervention management mode In patients with impaired glucose tolerance. Methods 68 patients with abnormal glucose tolerance cured in our community in July 2014 selected and randomly divided into the observation group and the control group with 34 cases in each.Patients in control group were treated with routine community management mode,and patients in observation group were treated with community comprehensive intervention.The changes of blood glucose（FPG,2hPBG,HbA1C） before and after intervention in two groups were compared. Results The blood glucose and lipids indexes level had no significant difference between the two groups before intervention（P 〈 O.05）.The FPG,2hPBG and HbA1C after intervention in observation group were significantly lower than those in control group（P 〈 O.05）.The incidence rate of diabetes of observation group was significantly lower than that of control group（P 〈 0.05）. Conclusion Community comprehensive intervention management model can effectively improve the blood glucose level of patients with abnormal glucose tolerance,thereby it can reduce the incidence of diabetes.