社区糖尿病强化管理模式对 2 型糖尿病患者血糖指标的影响

目的 探讨社区糖尿病管理在2 型糖尿病患者血糖控制中的应用效果，为社区糖尿病管理模式发展提供依据。方法 将 120 例 2 型糖尿病患者随机分为研究组和对照组，每组 60 例，两组患者药物治疗方法相同。研究组给予社区随访、健康教育、生活方式指导、用药指导等强化管理措施，对照组不予处理。比较 2 组患者空腹血糖（FPG）、餐后 2 h 血糖（2hPG）、糖化血红蛋白（HbA1c）情况。结果 管理 1 年后，研究组 FPG、2hPG、 HbA1c 都明显降低，与基线值比较差异有统计学意义（P<0.01）；对照组 1 年后 FPG、2hPG、 HbA1c 明显上升，与基线值比较差异有统计学意义（P<0.01）。1 年后两组 FPG、2hPG、 HbA1c 比较差异有统计学意义（P<0.05）。结论 社区糖尿病管理对 2 型糖尿病防治具有积极作用，能明显降低血糖水平。社区糖尿病管理模式是有效控制糖尿病发生发展的重要举措。

Effects of strengthening community management on glycemic index of the patients with type 2 diabetes

Objective To investigate the effects of the community management applications on blood glucose of patients with type II diabetes and provide the basis for the improving the development of community diabetes management model. Methods 120 patients with type 2 diabetes were randomly divided into experimental group and control group, 60 cases in each group. The given medicines of the 2 groups were the same .However, the experimental group received community follow-up, health education, lifestyle guide, medication management and but the control group were not received. The results of FPG, 2hPG, HbA1c of two groups were compared. Results After 1 year of the management, FPG, 2hPG, HbA1c were significantly reduced in the patients of the experimental group, with statistical significance (P<0.01) and the difference between the baseline value; after 1 year the levels of FPG, 2hPG, HbA1c in the patients of the control group were significantly increased compared with that of the experimental group with baseline values. The differences was statistically significant (P<0.01). 1 years later, FPG 2hPG, HbA1c of the patients of the two groups had a statistically significant difference (P<0.05). Conclusion The community management of diabetes prevention and treatment of type 2 diabetes has a positive effect, which can significantly lower blood sugar levels. Strengthening community management of diabetes is an important measure to effectively control the development of diabetes.