岳阳楼社区糖尿病高危人群非药物干预效果

目的探讨2型糖尿病高危个体非药物干预的效果.方法:运用知己能量监测仪和知己健康管理软件对岳阳楼区三个社区筛查人群中的2型糖尿病高危个体71例进行运动和饮食管理指导,进行3个月的强化期管理和9个月的随访,建立Epidata数据库,用SPSS13.0软件包对数据进行统计学分析. 结果经对高危个体12个月的生活方式干预,体重,腰围,体脂率,收缩压,舒张压,血糖,总胆固醇,甘油三酯的变化差异有统计学意义(t=11.70,9.86,9.52,9.45,7.89,4.87,2.43,3.86,P <0.05.),但高密度脂蛋白和低密度脂蛋白变化没有统计学意义,日平均总运动量,有效运动量,有效运动时间,日平均膳食摄入能量均比一年前有显著改善,差异有统计学意义(p<0.01).干预组的腰围,血压,空腹血糖,总胆固醇,甘油三脂与对照组一年后的差异亦有统计学意义(p<0.01). 结论对依从性好的2型糖尿病高危个体进行生活方式干预可以产生显著效果,值得宣传和推广.

Effects of Non-drug intervention on high-risk diabetic population

Objective To assess the effects of no-medicine intervention on high-risk diabetic population.Methods A total of 71 diabetic high-risk adults from 3 communities of Yueyang Lou district were selected by diabetes risk screening technology and managed with the energy monitor and Zhiji Health management software .Three-month intensive health management and nine-month follow-up were conducted in this participants . Batabase of Epidata,and SPSS13.0 were used for date analysis Results After12 month life-style intervention ,the weight,waistline,body fat rate,blood pressure,blood sugar,total cholesterol(TC),triglycerides(TG)of the participants were decreased (P< 0.01).But there are no significant difference in both high density lipoprotein cholesterol (HDL-C)and low density lipoprotein cholesterol(LDL-C).The average total amount of daily exercise,the amount of effective exercise,the amount of effective time of exercise ,the average daily dietary intake of those participants have significant difference compared with a year ago.The key indicators between the intention group and the control group also have significant difference. Conclusion Non-drug intervention on high-risk diabetic is effective if they have good compliance.