上海市1671例2型糖尿病患者社区管理的效果评价

发布时间：2018-04-22 20:15

本文选题：型糖尿病 + 血糖　；参考：《上海交通大学学报(医学版)》2010年08期

【摘要】：目的评价上海市2型糖尿病(T2DM)患者社区管理下的血糖控制效果。方法随机抽取上海市6个社区卫生服务中心纳入上海市T2DM管理的1 671例T2DM患者进行问卷调查,将调查对象分为管理1组(血糖控制不佳组,n=725)和管理2组(血糖控制良好组,n=946)。建立多因素Logistic回归模型分析两组中空腹血糖(FBG)和餐后2 h血糖(PBG)的影响因素。结果管理1组中T2DM患者FBG和PBG的平均浓度为(8.62±2.93)mmol/L和(11.51±3.95)mmol/L,管理2组中分别为(6.77±2.24)mmol/L和(9.22±2.88)mmol/L,两组与参考标准(FBG为7 mmol/L,PBG为10 mmol/L)比较,差异均有统计学意义(P0.001)。Logistic回归分析表明:除病程外,管理1组FBG或PBG控制水平的影响因素为健康教育频率、制定运动方案、根据血糖调整饮食和运动;管理2组FBG或PBG控制水平的影响因素为社区医院转诊和执行饮食方案。结论 T2DM患者社区管理使患者血糖水平得到了一定程度的控制,社区卫生服务机构需重点加强对T2DM患者饮食、运动的干预和指导,加强对血糖控制较差患者的随访管理。
[Abstract]:Objective to evaluate the effect of blood glucose control under community management in patients with type 2 diabetes mellitus (T2DM) in Shanghai. Methods A total of 1 671 patients with T2DM were randomly selected from 6 community health service centers in Shanghai. The subjects were divided into two groups: group 1 (blood glucose control group) and group 2 (good blood glucose control group). Multivariate Logistic regression model was established to analyze the influencing factors of fasting blood glucose (FBG) and postprandial blood glucose (2 h) in the two groups. Results the mean concentrations of FBG and PBG were 8.62 卤2.93)mmol/L and 11.51 卤3.95 mmol / L in T2DM group 1, and 6.77 卤2.24)mmol/L and 9.22 卤2.88 mmol / L in control group, respectively. The influencing factors of control level of FBG or PBG in group 1 were health education frequency, exercise program, diet and exercise according to blood sugar, and the influencing factors of control level of FBG or PBG in two groups were referral and diet plan in community hospital. Conclusion Community management of T2DM patients can control the level of blood sugar to a certain extent. Community health service organizations should focus on the intervention and guidance of diet and exercise in patients with T2DM, and strengthen the follow-up management of patients with poor blood glucose control.
【作者单位】：上海交通大学公共卫生学院;
【分类号】：R587.1

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