中西医结合综合干预社区老年糖尿病患者44例

目的?观察社区老年糖尿病中西医结合综合干预疗效，探索符合我国国情的社区糖尿病管理模式，提高糖尿病治疗效果。方法?将受试者随机分成2组，对照组（46例）予西医综合治疗措施；试验组（44例）在此基础上加用中成药。观察2组患者血压、血糖、糖化血红蛋白及生存质量积分等变化。结果?干预后，2组空腹血糖较干预前均有所下降（P＜0.05），2组间比较，空腹血糖下降具有显著统计学差异（P＜0.01）；餐后血糖治疗前后无明显差异（P>0.05）；2组糖化血红蛋白均有下降（P＜0.05），试验组优于对照组（P＜0.05）。2组治疗前后收缩压、舒张压差异无统计学意义（P>0.05），试验组优于对照组（P＜0.01）。在生存质量方面，2组患者治疗后精力（VT）、精神健康(MH)及心理健康综合评分明显改善（P＜0.05），2组比较，P＞0.05。结论?糖尿病在社区开展综合管理，是较为理想的慢病管理模式，中西医结合综合管理疗效更优。 

Comprehensive Interventional Therapy with the Combination of Chinese and Western Medicine for Community Senior Patients with Diabetes: A Study of 44 Cases

OBJECTIVE?To observe the clinical effects of integration of traditional Chinese medicine and western medicine in treating senile diabetes and explore proper community management for diabetes in our country and improve the therapeutic effect of diabetes treatment. METHODS?All cases were randomly divided into 2 groups (control group and experiment group) after intervention. The control group (46 cases) were treated by comprehensive western treatment， while experiment group (44 cases) were given both comprehensive western treatment and Chinese patent. Changes of blood pressure， blood glucose， glycocylated hemoglobin and life quality score were observed in two groups. RESULTS?After intervention， levels of fasting blood glucose in two groups both decreased compared to that of pre-intervention (P<0.05). Decreased levels of fasting blood glucose showed statistical difference between them (P<0.01). There was no difference in levels of postprandial blood glucose before and after treatment (P>0.05); both levels of glycocylated hemoglobin in two groups decreased (P<0.05)， and the experiment group were much more obvious than that of control group (P<0.05). There was no statistical significance between two groups in differences of systolic and diastolic pressures before and after treatment (P>0.05). When it comes to life quality， vitality (VT)， mental health (MH) scores， the experiment group got improvement (P<0.05) and the psychological evaluation score was higher after treatment (P<0.05). In control group， general health (GH)， vitality (VT)， mental health (MH)， and psychological evaluation got improvement after treatment， which is significant statistically (P<0.05). While the difference between two groups didn't show any statistical significance (P>0.05). CONCLUSION?Comprehensive intervention is successful in dealing with chronic diseases like diabetes and integration of traditional Chinese medicine and western medicine is effective in treating senile diabetes.