社区综合治疗100例糖尿病疗效观察

目的探索糖尿病社区综合治疗的有效模式,提高糖尿病患者的治疗达标率。方法选择已经确诊的糖尿病患者100例,按同等病情分为社区综合治疗组和普通治疗组。社区综合治疗组采用量化饮食治疗、量化运动治疗、指导合理用药、健康教育和心理疏导等治疗方法;普通治疗组为药物治疗和一般性教育。观察两组连续治疗3个月病情控制情况。结果社区综合治疗组患者空腹血糖值平均为6.4mmol/l,明显低于普通治疗组7.1 mmol/l(P<0.001);餐后血糖值平均为8.6 mmol/l,明显低于普通治疗组的11.2 mmol/l,糖化血红蛋白平均为7.7±1.1%,明显低于普通治疗组9.3±1.7%(P<0.001);社区综合治疗组血糖达到控制良好标准者占49.5%,明显高于普通组21.4%(P<0.001),而血糖控制在不良状态社区综合治疗组占25.2%,明显低于普通组49.3%(P<0.001)。糖化血红蛋白控制在良好水平的患者,社区综合治疗组为53.6%明显高于普通治疗组的19.3%(P<0.001)。体重指数、腰围、血脂两组无明显差别。结论糖尿病的社区综合治疗疗效优越于普通治疗。

The clinical efficacy of systematic reinforcement treatment in patients with type 2 diabetes mellitus in community

Objective To study the effectiveness of systematic reinforcement training by quantification diet and exercise in patient with type 2 diabetes mellitus in community.Methods Patients with type 2 diabetes were randomized to undergo two groups:the group with systematic reinforcement treatment(education,quantification diet,exercise treatment and oral drugs) and the group without systematic reinforcement treatment(oral hypoglycemic drugs).Participants(n=100) were followed for 3 months,during which fasting glucose,2h postprandial glucose,HbAlc,TC,TG,and HDL-C were determined at regular intervals to evaluate treatment effects.Results The average values of fasting and 2h glucose were 6.4mmol/L and 8.5 mmol/L respectively in the group without systematic treatment,and 7.1 mmol/L and 11.2 mmol/L resperctively in the group without systematic treatment.There was significant difference between the two group(P<0.001).The ratio of patients with optimal control of blood sugar was 49.5% in group with systematic treatment,and 21.4%(P<0.001) in the group without systematic treatment.HbAlc was evidently lower in the group with systematic treatment than in the group without systematic treatment.The ratio of patients with optimal control of HbAlc was 53.6% in the group with systematic treatment,and 19.3%(P<0.001) in the group with systematic treatment.Conclusion The curative efficacy in the group with systematic treatment was 2-3times higher than in group without systematic treatment~([1]).