摘要
目的探讨社区综合干预对老年2型糖尿病患者的治疗效果。方法纳入新发老年2型糖尿病患者(诊断时间<9个月)242例,随机分为对照组(n=121)和干预组(n=121)。对照组接受常规降糖治疗和血糖监测,干预组在对照组基础上实施运动干预、饮食干预和心理干预。9个月后比较两组体质指数(BMI)、空腹血糖(FBG)、血压、血脂等变化。结果干预组血糖控制达标的比例高于对照组(84.3%vs.71.9%,P=0.017)。对照组干预后FBG水平较治疗前有所下降,其他指标与干预前比较均无统计学差异(P<0.05);干预组干预后BMI[(22.18±6.30)kg/m2vs.(24.34±5.76)kg/m2]、FBG[(6.14±1.40)mmol/Lvs.(6.75±1.80)mmol/L]、收缩压[(141.25±19.73)mmHgvs.(147.05±21.55)mmHg]及总胆固醇[(1.71±0.69)mmol/Lvs.(1.82±0.78)mmol/L]、甘油三酯[(1.69±0.72)mmol/Lvs.(1.78±0.91)mmol/L]、低密度脂蛋白水平[(2.82±0.75)mmol/Lvs.(2.91±0.92)mmol/L)]均显著低于干预前,差异有统计学意义(P<0.05)。结论社区综合干预可提高血糖控制效果,有效改善老年2型糖尿病患者的血糖、血压和血脂水平,值得在社区慢病管理中推广。
Objective To investigate the curative effect of comprehensive intervention in aged patients with type 2 diabetes in community. Methods The aged patients （n=242） with type 2 diabetes （diagnosed within 9 months） were chosen and randomly divided into control group and intervention group （each n=121）. The control group was given routine hypoglycemic therapy and blood sugar monitoring, and intervention group was given additionally the interventions of exercise, diet and psychology. The changes of body mass index （BMI）, fasting blood glucose （FBG）, blood pressure and blood fat were compared between two groups after 9 months. Results The proportion of FBG controlled to reach the standard was higher in intervention group than that in control group （84.3%vs. 71.9%, P=0.017）. In control group, FBG decreased after treatment and other indexes had no statistical difference than before （P〈0.05）. In intervention group, the levels of BMI [（22.18±6.30） kg/m2 vs. （24.34±5.76） kg/m2], FBG[（6.14±1.40） mmol/L vs. （6.75±1.80） mmol/L], systolic blood pressure [（141.25±19.73） mmHg vs. （147.05±21.55） mmHg], total cholesterol [（1.69±0.72） mmol/L vs. （1.78±0.91） mmol/L], triglyceride [（1.71±0.69） mmol/L vs. （1.82±0.78） mmol/L] and low-density lipoprotein [（2.82±0.75） mmol/L vs. （2.91±0.92） mmol/L] were all lower after the intervention than before （P〈0.05）. Conclusion The comprehensive intervention in community can improve the effectiveness of blood sugar control and reduce the levels of blood sugar, blood pressure and blood fat in aged patients with type 2 diabetes, which is worth popularization in chronic diseases management in communities.
出处
《中国循证心血管医学杂志》
2013年第4期413-415,共3页
Chinese Journal of Evidence-Based Cardiovascular Medicine
关键词
糖尿病
社区
综合干预
效果评价
Diabetes
Community
Comprehensive intervention
Reviewing on effectiveness
