探讨社区管理对糖尿病患者血糖控制的影响

目的:观察社区管理对糖尿病患者血糖控制的影响,探析社区管理在糖尿病临床治疗中的价值。方法:选择本社区220例2型糖尿病非住院患者,对照组(n=100)不给予社区管理,观察组(n=120)接受系统化社区管理干预,观察随访前、干预6个月后血糖控制情况。结果:两组患者随访前的空腹血糖、餐后2h血糖、糖化血红蛋白测定无显著性差异(P>0.05);随访6个月后,观察组的空腹血糖、餐后2h血糖、糖化血红蛋白测定结果均明显优于对照组,而且明显优于随访前,差异均有显著意义(P<0.05)。结论:社区管理能够有效降低2型糖尿病患者的血糖水平,具有临床推广价值。

The Influence Research of Community Management to Diabetics Glycemic Control

Objective:To observe influence of the community management of diabetes in the blood glucose control,and explores the community management in the treatment of diabetes clinical value.Methods:Choose this community of 220 cases of type 2 diabetes patients in hospital,the control group(n=100) don’t give the community management,the observation group(n=120) accept systematic community management intervention,observation follow-up,intervention before 6 months after blood sugar control.Results:Two groups of patients were followed up for the before fasting blood glucose,blood sugar,2h after a meal glycosylated hemoglobin determination has no significant difference(P>0.05);After 6 months of follow-up,the observation group of fasting blood glucose,blood sugar,2h after a meal glycosylated hemoglobin the determination results are much better than control group,and obviously better than before the follow-up,differences are significant(P<0.05).Conclusion:The community management can effectively reduce the patients with type 2 diabetes blood sugar levels,have clinical application value.