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优化糖尿病社区管理的路径对策探讨

ISSN号：1005-913X
期刊名称：《北方经贸》
时间：0
分类：R587.1[医药卫生—内分泌;医药卫生—临床医学;医药卫生—内科学]
作者机构：[1]深圳市罗湖人民医院,深圳518000
相关基金：【基金项目】广东省深圳市罗湖区软科学研究计划项目（201307）

作者：黄永平[1]

关键词：糖尿病, 社区干预, 管理策略, Diabetes, Community intervention, Management strategy

中文摘要：

目的探讨优化糖尿病社区管理的路径对策。方法选取深圳市条件相当的2个社区，分别作为干预组和对照组，在社区中选取2型糖尿病患者作为研究对象，干预组45例，对照组43例。对照组采用常规药物治疗，干预组在对照组的基础上，采用社区干预，治疗1年后，比较两组患者的相关临床指标。结果干预组治疗后的空腹血糖、餐后2h血糖、糖化血红蛋白、总胆固醇和三酰甘油明显低于治疗前，差异有统计学意义（P〈0．05）。结论构建成本一效益最大化的糖尿病社区管理路径，对特殊人群开展有针对性的教育和监督管理等社区管理措施，可有效缓解糖尿病的进展及预防并发症。

英文摘要：

Objective To discuss the countermeasure of optimizing community management of diabetes.Methods Two communities with almost the same economic levels in Shenzhen city were selected as intervention group and control group respectively.Patients with type 2 diabetes in the two communities were selected as research objects.45 cases in intervention group,43 cases in control group.Conventional drug therapy was used in control group,on the basis of control group,community intervention was used in intervention group.After treatment of 1 year, clinical related indicators was compared in two goups respectively.Results After treatment,FPG,2hPG,HbAlc,total cholesterol and triglyceride in intervention group was obviouslylower than before treatment respectively,with statistical difference （P〈0.05）.Conclusion Construction of diabetes community management path with optimal cost-benefit and implementation of community management measures like the targeted education and supervision.On the special population can effectively relieve the progress of diabetes and prevent the related complications.