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目的观察社区综合干预措施对2型糖尿病前期患者病情的影响,为预防及治疗制定合理方案提供参考依据。方法将确诊为2型糖尿病前期患者按居民楼所在区域分为对照组102例与研究组112例。对照组给予常规治疗,研究组在对照组基础上给予心理、饮食、用药、运动指导等社区综合干预,比较两组患者干预前后血糖、血脂水平变化及患者依从性情况。结果果2个月后研究组患者FPG、2hPG及TC水平有显著降低,且患者依从性优良率为83.04%,以上与对照组比较差异有统计学意义(P<0.05)。结论对2型糖尿病前期患者进行社区综合干预,可有效降低患者血糖水平,改善血脂状况,提高患者治疗依从性及患者生活质量。
Objective To observe the impact of community-based comprehensive interventions on the condition of patients with type 2 diabetes and to provide a reference for the formulation of a rational plan for prevention and treatment. Methods The patients diagnosed as pre-type 2 diabetes patients were divided into control group (n = 102) and study group (n = 112) according to the area of residence building. The control group was given routine treatment. The study group was given comprehensive intervention on the basis of the control group, including psychology, diet, medication, exercise instruction and so on. The changes of blood glucose and blood lipid and the compliance of the patients before and after the intervention were compared. Results After 2 months, the levels of FPG, 2hPG and TC in study group were significantly decreased, and the rate of compliance was 83.04%. The difference between the two groups was statistically significant (P <0.05). Conclusion Community-based intervention in patients with type 2 diabetes can effectively reduce blood glucose levels, improve blood lipid status, and improve patient compliance and quality of life of patients.