2型糖尿病3个月强化管理6年后回顾性调查

A retrospective survey of 3 months of intensive management of type 2 diabetes after 6 years

目的:观察社区2型糖尿病短期强化管理后的延续效应,探讨社区糖尿病管理的有效模式。方法:将82例2型糖尿病患者随机分为强化组与对照组。强化组在2010年从饮食、运动方面进行强化管理3个月后取消强化管理,改为普通社区慢性病管理模式,6年后回顾性分析强化组和对照组病情变化情况。结果:强化组在强化管理期间,提高了糖尿病各项指标达标率,在恢复普通管理2年内血糖、糖化血红蛋白、调整用药等方面优于对照组(P<0.05),但在后续4年内优势减少,甚至不再有优势。结论:短时间强化管理不足以使患者长久受益,糖尿病社区管理需要更加个性化、操作具体化的管理制度。

Objective:To observe the over effect of short-term intensive management of type2diabetes in community,and to explore the effective model of community diabetes management.Methods:82patients with type2diabetes were randomly divided into the intensive group and the control group.The intensive group was given intensive management from the aspects of diet,exercise in2010,and the intensive management was abolished after3months,changing common community chronic disease management model.The condition changes of the intensive group and the control group were given retrospective analysis after6years.Results:During intensive management,the intensive group increased the compliance rates of various indicators of diabetes.During2years of restoring general management,the blood glucose,glycosylated hemoglobin,adjusting medication were better than those of the control group(P<0.05),but in the subsequent4years the advantage was decreased,no longer even had the advantage.Conclusion:Short time intensive management is not enough to make patients long-term benefit.The diabetes community management needs more personalized,specific operation of diabetes management.