社区糖耐量受损人群早期生活方式干预效果

Effect of early stage life style intervention in the community population with impaired glucose tolerance

目的:探讨对社区糖耐量受损(IGT)人群进行早期生活方式干预的效果。方法:2015年1月至2015年6月在社区卫生服务中心进行糖耐量试验筛查,选取80例IGT患者为研究对象,随机分为对照组40例,平均年龄(55.4±2.5)岁,干预组40例,平均年龄(54.8±2.6)岁;对照组仅进行健康宣教,对干预组进行早期生活方式干预管理,比较两组糖尿病防治知识知晓掌握情况、体重指数、空腹血糖、餐后2 h血糖、收缩压、舒张压、总胆固醇以及糖尿病发生情况。结果:与对照组相比,干预组的糖尿病防治知识知晓掌握较优(P<0.05),体重指数、空腹血糖、餐后2 h血糖、收缩压、舒张压、总胆固醇等指标均较低(P<0.05),发生糖尿病的比例较低(P<0.05)。结论:早期生活方式干预可有效降低IGT患者发生糖尿病的风险,对社区糖尿病防控起重要意义。

Objective： To explore the effect of early stage lifestyle intervention in the community population with impaired glucose tolerance （IGT）. Methods： From January 2015 to June 2015, 80 cases of IGT were selected as the research objects and randomly divided into a control group with 40 cases of an average age （55.4±2.5） years and an intervention group with 40 cases of an average age （54.8±2.6） years. The control group was given health education and the intervention group was given the early stage lifestyle intervention. Knowledge of diabetes prevention and control, BMI, fasting blood glucose （FBG）, postprandial 2h blood glucose （2hPG）, systolic blood pressure （SBP）, diastolic blood pressure （DBP） and total cholesterol （TC） level were compared before and after the intervention. Results： Compared with the control group, the intervention group had better knowledge of prevention and treatment of diabetes mellitus（P〈0.05）, BMI, FBG, 2hPG, SBP, DBP and TC level were lower（P〈0.05）, and the incidence of diabetes was lower（P〈0.05）. Conclusion： Early life style intervention can effectively reduce the risk of diabetes in the patients with IGT and play an important significance to the community diabetes prevention and control.