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目的评价社区综合干预对葡萄糖调节受损者的有效性。方法采用掷硬币法将研究对象按所在的社区分为干预组(59例)和对照组(58例),干预组接受为期6个月的社区综合干预,包括群体教育、个体化饮食和运动干预。对照组不给予特殊措施。两组在干预前、后分别进行血糖、血脂、人体测量学指标测定。结果干预组干预后空腹血糖、糖化血红蛋白、三酰甘油、血压、腰臀比均低于干预前和对照组同期水平(P<0.05);总胆固醇、高密度脂蛋白、低密度脂蛋白变化不明显。结论社区综合干预对阻止葡萄糖调节受损者进一步发展成为糖尿病患者有着重要的意义。
Aim To evaluate the effectiveness of community-based interventions in impaired glucose regulation. Methods Totally coin-operated subjects were divided into intervention group (n = 59) and control group (n = 58) according to the community. The intervention group received 6-month comprehensive community intervention including group education, individual diet and exercise intervention . The control group did not give special measures. Before and after intervention, the two groups were respectively measured blood glucose, blood lipid and anthropometric indexes. Results The fasting blood glucose, glycosylated hemoglobin, triglyceride, blood pressure and waist-hip ratio in intervention group were lower than those before intervention and in control group (P <0.05). The changes of total cholesterol, high density lipoprotein and low density lipoprotein obvious. Conclusion Community-based interventions have important implications for preventing further impairment of glucose regulation in patients with diabetes.