摘要
目的研究社区卫生服务对2型糖尿病防治的效果。方法选取2011年11月至2012年11月武汉市一社区患有2型糖尿病的患者60例,同期选取另一社区60例2型糖尿病患者作为对照组,进行常规治疗。经过5个月的社区综合干预后比较对照组和试验组的空腹血糖、糖化血红蛋白(Hb A1c)、餐后2 h血糖、体质指数(BMI)和遵医行为。结果试验组干预前的空腹血糖(7.4±1.8)mmol/L、Hb A1c(6.9±0.9)%、餐后2 h血糖(9.7±1.4)mmol/L、BMI(24.6±1.4)kg/m2,均分别显著高于干预后的空腹血糖(6.2±0.8)mmol/L、Hb A1c(6.1±0.9)%、餐后2 h血糖(8.1±1.6)mmol/L、BMI(23.7±1.2)kg/m2(P<0.05)。试验组干预后遵医嘱用药(76.7%)、控制饮食(73.3%)、规律运动(70.0%)、定时监测血糖(75.0%)均显著高于干预前遵医嘱用药(53.3%)、控制饮食(53.3%)、规律运动(50.0%)、定时监测血糖(41.7%)(P<0.05)。结论社区卫生服务能有效地改善2型糖尿病患者的血糖控制情况,提高2型糖尿病患者的生活质量。
Objective To study the preventive and therapeutic effects of community health service for the type 2 diabetes.Methods A total of 60 patients with type 2 diabetes from a community in Wuhan City from Nov.2011 to Nov.2012 were included as the research group,another 60 patients with type 2 diabetes from another community were selected as the control group to receive routine treatment.The level of fasting blood glucose,glycosylated hemoglobin （HbA1o）,two hour postprandial blood glucose,body mass index （BMI） and compliance behavior after 5 months of comprehensive community intervention were compared.Results The fasting blood glucose （7.4 ± 1.8） mmol/L,glycosylated hemoglobin （HbA1c） （6.9 ± 0.9） %,two hours postprandial blood glucose （9.7 ± 1.4） mmol/L,BMI （24.6 ± 1.4） kg/m2 of the research group before intervention were all statistically significantly higher than those after intervention：fasting blood glucose （6.2 ±0.8）mmol/L,HbA1c （6.1 ± 0.9）%,two hours postprandial blood glucose （8.1 ± 1.6） mmol/L,BMI （23.7 ± 1.2） kg/m2 （P 〈 0.05）.The medication compliance rate（76.7 % vs 53.3 %）,diet control（73.3% vs 53.3%）,regular exercise（70.0% vs 50.0%）,and regular monitoring of blood glucose rate（75.0% vs 41.7%） of the research group after intervention were all statistically significantly higher than those before intervention（P 〈0.05）.Comprehensive community intervention could effectively reduce the level of the fasting blood glucose,HbA1c,two hours postprandial blood glucose,BMI,and improve the compliance behaviors including prescribed medication,controlling diets,regular exercise,and regular monitoring of blood glucose （P 〈0.05）.Conclusion Community health service can help to control the blood sugar,and improve the quality of life in patients with type 2 diabetes mellitus.
出处
《医学综述》
2015年第1期133-134,共2页
Medical Recapitulate
基金
湖北省自然科学基金(2012FKB04441)
关键词
糖尿病
社区卫生服务
血糖
Diabetes mellitus
Community health service
Blood glucose
