管理干预社区糖尿病的临床效果观察.docVIP

管理干预社区糖尿病的临床效果观察 　　doi：10.3969/j.issn.1007-614x.2014.4.99 　　摘 要 目的：探讨管理干预对社区糖尿病的临床治疗效果。方法：在深圳市范围内选择4个社区的210例糖尿病患者随机分为两组，观察组101例，对照组109例。观察组采用社区管理干预的方法对患者进行教育管理，对照组单纯由社区医生对患者进行教育管理。两组在进行3个月的治疗之后，观察患者的血糖、血脂和血压等相关指标的临床治疗效果。结果：观察组体重指数观察组体重指数（2.1±1.6）kg/m2，空腹血糖（6.8±1.3）mmoL/L，餐后2小时血糖（8.3±1.7）mmoL/L，糖化血红蛋白（6.7%±0.6）%，甘油三酯（1.72±0.40）mmoL/L。对照组体重指数（24.9±1.9）kg/m2，空腹血糖（8.3±1.6）mmoL/L，餐后2小时血糖（9.7±2.0）mmoL/L，糖化血红蛋白（7.5%±0.8）%，甘油三酯（2.26±0.27）mmoL/L。两组以上5项指标比较差异均有统计学意义（P0.05）。结论：观察组的指标效果明显优于对照组，表明通过对社区糖尿病患者进行管理干预，能明显提高患者的生活质量和临床疗效。 　　关键词 管理干预 社区 糖尿病 临床效果 　　The clinical observation of Community diabetes management interventions 　　Zhang Miao1，Liu Jinghua2，Li Guohua3 　　Shenzhen Futian District Peoples Hospital Funan Community Health Center Guangdong province，5180001 　　Shenzhen Futian District Peoples Hospital Futian Community Health Center Guangdong province2 　　Shenzhen Baoan District Xixiang Peoples Hospital Guangdong province3 　　Abstract Objective：To investigate the management of community intervention on the clinical treatment of diabetes.Methods：four communities within the range of 210 cases of Shenzhen diabetic patients were randomly divided into two groups：101 cases in the observation group，109 cases in the control group.Observation group intervention approach to community management education and management of patients in the control group were simply to educate community physicians on patient management.After two months of treatment during the three observed clinical effect of blood glucose，blood lipids and blood pressure and other related indicators of the patient.Results：The study group BMI body mass index 2.1±1.6kg/m2，fasting plasma glucose 6.8±1.3mmoL/L，2 hours postprandial blood glucose 8.3±1.7mmoL/L，glycosylated hemoglobin 6.7%±0.6%，triglycerides 1.72±0.40mmoL/L.BMI control group 24.9±1.9kg/m2，fasting plasma glucose 8.3±1.6mmoL/L，2hours postprandial blood glucose 9.7±2.0mmoL/L，glycosylated hemoglobin 7.5%±0.8%，triglycerides 2.26±0.27mmoL/L.Compare these t