深圳市社区糖尿病前期患者健康干预及效果分析

Effect Analysis of Health Interventions on Pre-diabetes in a Community Health Service Center in Shenzhen

目的了解深圳市糖尿病前期患者社区健康干预的效果。方法对2014—2015年320例社区糖尿病前期患者采用多种方式进行为期1年的健康管理和干预,通过自身前后对照分析干预效果。结果干预对象的空腹血糖由8.57±2.35mmol/L降低到6.32±3.76mmol/L,达标率由29.4%提高到52.5%;餐后2h血糖由9.02±1.21mmol/L降低到7.65±1.03mmol/L,达标率由32.2%提高到52.2%。结论通过社区健康干预,患者血糖水平明显下降,达标率明显提高,社区健康干预可降低糖尿病前期病人发展为糖尿病的风险。

Objective To evaluate the effect of health interventions on pre-diabetes in a community health service center in Shenzhen.Methods 320 patients with pre-diabetes from 2014 to 2015 were chosen and received health management and intervention for a year.Comparative analysis before and after the intervention were used to evaluate the effect.Results The control ratio of fasting plasma glucose and 2 hpostprandial plasma glucose increased from29.4%to 52.5% and 32.2%to 52.2%respectively.The index value decreased from 8.57± 2.35 mmol/L to 6.32± 3.76 mmol/L and from 9.02±1.21 mmol/L to 7.65±1.03 mmol/L respectively.Conclusion Community health intervention can effectively decrease pre-diabetes' blood glucose levels,improve the control ratio and also reduce the risk for pre-diabetes developing into diabetes.