基于信息网络平台对代谢综合征健康管理胰岛素抵抗评估.docVIP

基于信息网络平台对代谢综合征健康管理胰岛素抵抗评估 　　摘 要 目的：探讨基于信息网络平台对代谢综合征患者实施健康管理的效果。方法：依据中华医学会糖尿病分会诊断标准，2015年10月―2016年3月在社区代谢综合征管理库中随机抽取55例糖尿病患者为干预组，55例糖尿病患者为对照组。依托信息化平台，社区卫生服务中心制定预期目标，开展代谢综合征患者的健康管理，加强研究对象的自我监测，社区服务站定期随访空腹血糖、空腹胰岛素。半年后观察对比干预组和对照组的胰岛素抵抗（HOMA-IR）值，并进行评估。结果：利用信息网络平台，干预组的胰岛素敏感性改善，通过HOMA-IR对比评估，干预组显著优于对照组，差异有统计学意义（P0.05）。结论：以信息网络为平台的代谢综合征患者健康管理，可取得满意的效果。 　　关键词 代谢综合征 信息网络 管理 　　中图分类号：R589 文献标志码：A 文章编号：1006-1533（2016）12-0046-03 　　HOMA-IR evaluation of the health management of metabolic syndrome based on the information network platform 　　YANG Qi1， CHEN Liang1， ZOU Xiaohong1， WANG Haiqin2 　　（1. Lingyun Community Health Service Center of Xuhui District， Shanghai 200237， China； 　　2. Huajinzhen Community Health Service Center of Xuhui District， Shanghai 200231， China） 　　ABSTRACT Objective： To explore the effect of health management in patients with metabolic syndrome based on information network platform. Methods： According to the diagnostic criteria of diabetes branch of Chinese Medical Association， 55 cases of diabetes were randomly selected from the management bank of metabolic syndrome in community as an intervention group and 55 cases as a control group from October 2015 to March 2016. Relying on the information platform， the community health service center developed the desired objectives， carried out health management of patients with metabolic syndrome， and strengthened the self monitoring of the research object. The health stations followed up fasting blood glucose and fasting insulin. After half a year， insulin resistance（HOMA-IR）between the intervention group and the control group were compared and the values were assessed. Results： Utilyzation of the information network platform， insulin sensitivity in the intervention group was improved， Through HOMA-IR comparison and assessment， the value of the intervention group was significantly better than that of the control group， the difference was statistically significant（P0.05）. Conclusion： The health management of