二甲双胍联合综合性强化管理对社区糖尿病患者血糖控制及生活质量的改善分析

发布时间：2018-07-07 18:23

本文选题：糖尿病 + 二甲双胍　；参考：《中国全科医学》2017年S1期

【摘要】：目的探讨二甲双胍联合综合性强化管理对社区糖尿病患者血糖控制及生活质量的改善。方法选取2014年2月—2017年2月上海市徐家汇街道社区卫生服务中心收治的100例2型糖尿病患者,采用数字随机法均分为观察组与对照组,每组各50例。对照组患者采用常规管理加二甲双胍治疗,观察组患者采用二甲双胍联合综合性强化管理。比较治疗前后空腹血糖(FPG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbA_(1c))、体质指数(BMI)改善效果,并采用SF-36量表评价两组患者治疗前后生活质量的改善情况。结果治疗前两组FPG、2 hPG、HbA_(1c)、BMI比较,差异无统计学意义(P0.05);治疗后观察组FPG、2 hPG、HbA_(1c)较对照组降低,差异有统计学意义(P0.05)。治疗前两组SF-36量表社会功能、情感职能、生理职能、生理功能、躯体疼痛、总体健康、精神健康、活力评分比较,差异无统计学意义(P0.05);治疗后观察组SF-36量表社会功能、情感职能、生理职能、生理功能、躯体疼痛、总体健康、精神健康、活力评分均高于对照组,差异有统计学意义(P0.05)。结论二甲双胍联合综合性强化管理对社区糖尿病患者血糖控制效果较优,相较于常规管理能够显著提升患者生活质量。
[Abstract]:Objective to explore the improvement of blood glucose control and quality of life in community diabetic patients with metformin combined comprehensive intensive management. Methods 100 patients with type 2 diabetes treated in Xujiahui street community health service center of Shanghai city from February 2014 to February 2017 were selected and divided into the observation group and the control group by digital random method, 50 cases in each group. The patients in the control group were treated with routine management plus metformin, and the patients in the observation group were treated with metformin combined comprehensive intensive management. Compared with the fasting blood glucose (FPG) before and after treatment, 2 h postprandial blood glucose (2 hPG), glycated hemoglobin (HbA_ (1c)), body mass index (BMI), and the SF-36 scale to evaluate the quality of life before and after treatment in two groups of patients. Results there was no significant difference between the two groups of FPG, 2 hPG, HbA_ (1c) and BMI before treatment (P0.05), and the observed group FPG, 2 hPG, HbA_ (1c) were lower than the control group after treatment. The difference was statistically significant (P0.05). Before treatment, the two groups of SF-36 scales were social function, emotional function, physiological function, physical function, somatic pain, overall health, mental health, The difference was not statistically significant (P0.05). After treatment, the social function, emotional function, physiological function, physical function, physical function, physical pain, general health, mental health and vitality score of the observation group SF-36 were higher than those of the control group, the difference was statistically significant (P0.05). Conclusion the combination of metformin and comprehensive intensive management for community diabetes mellitus The blood glucose control effect of patients is better than routine management, which can significantly improve the quality of life of patients.
【作者单位】：上海市徐家汇街道社区卫生服务中心;上海市徐汇区中心医院;上海中山医院;
【分类号】：R587.1

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