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目的分析社区全科医师综合干预对糖尿病患者血糖管理的效果。方法选取2014年3月至2016年12月我社区中心门诊收治的糖尿病患者144例作为观察对象,按照随机数字表法分为研究组(n=72)和参照组(n=72),研究组实施社区全科医师综合干预,参照组实施自我管理,比较两组血糖相关代谢指标改善效果及血糖控制效果。结果除BMI指数外,研究组FPG、2h PG、Hb Alc、m Alb以及DBP、SBP与参照组比较,组间具有显著性统计学差异(P<0.05);研究组血糖控制理想率显著高于参照组,两组间差异明显(P<0.05)。结论社区糖尿病采用全科医生为主体的糖尿病社区模式有利于对血糖进行有效控制,降低并发症发生率,改善生活质量,值得采纳和进一步推广。
Objective To analyze the effect of comprehensive intervention by community general practitioners on blood glucose management in diabetic patients. Methods A total of 144 diabetic patients admitted to our Community Center from March 2014 to December 2016 were selected as study subjects and divided into study group (n = 72) and reference group (n = 72) according to random number table. The study group The implementation of community general practitioners comprehensive intervention, self-management of the reference group to compare the two groups glucose metabolism-related indicators to improve the effect and control effect of blood sugar. Results In addition to the BMI index, the study group FPG, 2h PG, Hb Alc, m Alb and DBP, SBP compared with the reference group, there was a significant statistical difference (P <0.05); the ideal blood glucose control group was significantly higher than the control group The difference between the two groups was significant (P <0.05). Conclusion The community diabetes mellitus model with diabetes as the main body is conducive to the effective control of blood glucose, reduce the incidence of complications and improve the quality of life, worthy of adoption and further promotion.