摘要
目的:探索“全专结合”社区管理模式对老年2型糖尿病合并轻度认知障碍(MCI)患者的管理效果。方法:将106名病例资料完整的老年2型糖尿病合并MCI患者随机分为试验组及对照组,试验组有52例和对照组有54例患者完成随访。对对照组进行社区糖尿病患者常规管理及随访,试验组在此基础上进行以社区糖尿病专病团队为主体的综合干预,6个月后,观察两组患者血糖控制和认知功能情况等。结果:到第6个月随访结束时,试验组患者认知功能总分较干预前有显著升高,其中视空间及执行能力维度评分有明显提升,差异均有统计学意义(均P<0.05);患者血糖、血清的总胆固醇、低密度脂蛋白胆固醇和高密度脂蛋白胆固醇水平也较干预前有明显改善,差异均有统计学意义(P<0.05)。对照组患者干预前后认知功能总分差异无统计学意义(P>0.05)。结论:社区卫生服务中心“全专结合”的糖尿病综合管理模式可改善糖尿病合并MCI患者认知功能。
Objective:To explore the management effect of combination of general practice and specialty community management mode on the type 2 diabetes patients with mild cognitive impairment(MCI).Methods:One hundred and two type 2 diabetes patients with MCI who had complete information were randomly divided into an experimental group and a control group,the experimental group had 52 cases and the control group had 54 cases who had finished the screening.The community diabetic patients in the control group were routinely managed and followed up,and the experimental group was given comprehensive intervention with community diabetes specialist team as the main body,and after six months,the blood glucose control and cognitive function improvement of the two groups were observed.Results:At the end of the 6-month of following-up,the total score of cognitive function in the experimental group was significantly improved compared to before intervention,and among them,there was a significant improvement in the scores of visual space and execution ability dimensions and the difference was statistically significant(P<0.05).Blood glucose,serum total cholesterol,low-density lipoprotein cholesterol,and high-density lipoprotein cholesterol levels in the patients were significant improvement compared to before intervention,and the difference was statistically significant(P<0.05).There was no significant change in the cognitive status in the control group before and after intervention(P>0.05).Conclusion:Combination of general practice and specialty diabetes comprehensive management mode in the community health service centers can effectively improve the cognitive function of diabetic patients with MCI.
作者
李昂
范梅香
吴晓琰
LI Ang;FAN Meixiang;WU Xiaoyan(General Practice Department of Pujin Community Health Service Center of Minhang District,Shanghai 200040,China;General Practice Department of Huashan Hospital Affiliated to Fudan University,Shanghai 200040,China)
出处
《上海医药》
CAS
2024年第22期58-62,共5页
Shanghai Medical & Pharmaceutical Journal
基金
上海市闵行区卫生健康委员会课题项目(2022MW31)。
关键词
糖尿病
全专结合
轻度认知功能障碍
diabetes mellitus
combination of general practice and specialty
mild cognitive impairment
