社区糖尿病患者综合管理及效果剖析.docVIP

社区糖尿病患者综合管理及效果剖析 　　摘 要 目的：探讨社区管理和综合干预对糖尿病患者血糖控制及并发症的影响效果，为社区卫生服务中心开展糖尿病管理提供客观有效的依据。方法：将本社区确诊为2型糖尿病的患者200例随机分成综合管理组和常规组各100例，对综合管理组实施3年的糖尿病综合管理及治疗，常规组自行到社区卫生室或医院就诊，比较两组患者的糖尿病知识、行为的变化及空腹血糖、餐后2 h血糖、糖化血红蛋白及并发症的控制情况。结果：综合管理组患者的空腹及餐后2 h血糖、糖化血红蛋白水平及并发症发生率明显低于对照组，差异有统计学意义（P0.05）。结论：社区糖尿病患者的综合管理，对患者的糖尿病知识和行为的变化、社区糖尿病患者血糖的控制、延缓或避免并发症的发生、提升患者生活质量及延长患者的寿命是非常必要的。 　　关键词 糖尿病 社区 综合管理 　　中图分类号：R587.1 文献标识码：C 文章编号：1006-1533（2012）22-0044-03 　　General management and result analysis of the community diabetes patients 　　JI Chun-hua， FAN Cheng， LU Wen-jie 　　（Jinzhe Town Community Health Service Center of Qingpu District， Shanghai 201718， China） 　　ABSTRACT Objective： To explore the community management and general intervention for diabetes patients controlling blood sugar and complication effects for providing the tactics for the community health centre to develop diabetes management. Method： Two hundred diabetes patients who were diagnosed as the secondary diabetes were divided into the comprehensive management group and routine group randomly. The comprehensive management group was received diabetes management and treatment for three years and the routine group was just consulted in the community health clinics and centers. The knowledge of diabetes， behavior change， fasting glucose 2-hour postprandial blood glucose， glycosylated hemoglobin and their complication of two groups were compared. Result： The fasting glucose， 2-hour postprandial blood glucose， glycosylated hemoglobin and their complication of the comprehensive group were obviously lower than those of the routine group， whose difference had statistical significance （P0.05）. Conclusion： The comprehensive management of the community diabetes patients is very important for the patients’ diabetes knowledge and behavior change， blood glucose control， prolonging or avoiding the complication occurrence and improving their life quality and prolonging life. 　　KEY WORDS diabetes； community； general management 　　糖尿病是危害人类健康和生命的主要慢性病之一，其患病