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目的探讨社区康复治疗与健康教育干预对糖尿病合并周围神经病变患者的影响。方法回顾性分析近两年来福田区慢性病防治院社康中心就诊的糖尿病合并周围神经病变的患者资料96例,按随机数字表法分为两组,对照组患者常规控制血糖,观察组患者配合社区康复治疗与健康教育干预,比较两组患者治疗前后血糖监测水平和临床神经病变评分。结果治疗前两组患者血糖监测各项指标和临床神经病变评分差异均无统计学意义(均P>0.05);治疗后,两组患者的空腹血糖、餐后2 h血糖和糖化血红蛋白水平及症状、体征评分均较治疗前明显改善,且观察组患者改善幅度更加显著(均P<0.05)。结论配合社区康复治疗与健康教育干预能有效控制糖尿病合并周围神经病变患者的血糖水平,更好地改善神经功能。
Objective To explore the impact of community rehabilitation and health education intervention on diabetic patients with peripheral neuropathy. Methods A retrospective analysis of the past two years in Futian District Chronic Disease Prevention and Treatment Hospital Community Health Center diabetic patients with peripheral neuropathy in 96 cases, according to random number table divided into two groups, the control group of patients with conventional blood sugar control group patients with the community Rehabilitation treatment and health education intervention were compared between the two groups before and after treatment, blood glucose monitoring and clinical neuropathy score. Results There were no significant differences in the indexes of blood glucose monitoring and clinical neuropathy between the two groups before treatment (all P> 0.05). After treatment, the fasting blood glucose, postprandial blood glucose and hemoglobin A1c levels and symptoms , Signs were significantly improved than before treatment, and the observation group patients improved more significantly (all P <0.05). Conclusion Intervention with community rehabilitation and health education can effectively control the blood glucose level in diabetic patients with peripheral neuropathy and improve the neurological function.