生活方式干预对社区糖耐量受损患者的效果分析

Effect Analysis of Lifestyle Intervention on Community Patients with Impaired Glucose Tolerance

目的:分析生活方式干预对社区糖耐量受损(IGT)患者病情的改善效果。方法:选取2021年1-12月东莞市黄江镇社区卫生服务中心收治的IGT患者94例为观察对象,按照随机数字表法分为对照组与观察组,各47例。对照组给予常规干预,观察组在常规干预基础上给予生活方式干预,比较两组患者糖尿病发生率、血糖及脂联素水平、腰围、体重指数(BMI)。结果:观察组糖尿病发生率低于对照组,差异有统计学意义(P=0.012);干预后,观察组FPG、2 hPBG水平低于对照组,脂联素水平高于对照组,差异有统计学意义(P=0.001);干预后,观察组腰围、BMI低于对照组,差异有统计学意义(P<0.05)。结论:生活方式干预对于社区IGT患者有良好控制作用,能有效控制血糖,提升脂联素水平,降低糖尿病发生率,可发挥减重作用。

Objective:To analyze the improvement effect of lifestyle intervention on community impaired glucose tolerance(IGT)patients.Methods:Ninety-four IGT patients admitted to Huangjiang Town Community Health Service Center from January to December 2021 were selected as observation objects,and were divided into control group and observation group according to random number table method,with forty-seven cases in each group.The control group was given routine intervention,and the observation group was given lifestyle intervention on the basis of routine intervention.The incidence of diabetes,blood glucose and adiponectin levels,waist circumference and body mass index(BMI)were compared between the two groups.Results:The incidence of diabetes in observation group was lower than that in control group,and the difference was statistically significant(P=0.012).After intervention,the levels of FPG and 2 hPBG in the observation group were lower than those in the control group,but the levels of adiponectin were higher than those in the control group,with statistical significance(P=0.001).After intervention,waist circumference and BMI of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).Conclusion:Lifestyle intervention has a good control effect on community IGT patients,which can effectively control blood glucose,improve adiponectin level,reduce the incidence of diabetes,and play a role in weight loss.