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目的通过对社区居民2型糖尿病患者强化管理提高其治疗效果,巩固达标率。方法选择辖区永泰社区确诊2型糖尿病患者82例,按随机病情分为2组,各41人,分别为强化管理组和普通治疗组。前者采取饮食、运动强化管理,普通组自我管理生活饮食运动,时间3个月。3个月内强化组、普通组糖尿病治疗用药均暂不进行调整。结果管理观察3个月后,强化组空腹血糖、餐后2h血糖、糖化血红蛋白、胆固醇、甘油三酯的达标率均优于普通组(P<0.05),而3个月前两组无差别(P>0.05),强化管理组三个月前后相比高密度脂蛋白、低密度脂蛋白达标率亦有改善。结论社区2型糖尿病患者通过饮食运动强化管理可提高社区糖尿病治疗达标率。
Objective To strengthen the management of patients with type 2 diabetes in community residents to improve their treatment effect and consolidate the compliance rate. Methods Eighty-two patients with type 2 diabetes mellitus diagnosed in Yongtai Community were randomly selected. Two groups were randomly divided into two groups with 41 in each. They were intensive management group and general treatment group respectively. The former adopted diet, exercise management, general group self-management life diet exercise, time 3 months. Intensive group within 3 months, common group diabetes treatment are temporarily not adjusted medication. Results Management After 3 months of observation, the fasting blood glucose, fasting blood glucose, 2h postprandial blood glucose, glycosylated hemoglobin, cholesterol and triglyceride in the intensive group were all better than those in the normal group (P <0.05), but no difference between the two groups P> 0.05). Compared with high-density lipoprotein in the intensive management group three months ago, the compliance rate of low-density lipoprotein was also improved. Conclusion Patients with type 2 diabetes in community can enhance the compliance rate of community diabetes treatment through dietary exercise management.