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目的:探讨社区糖尿病高危人群的血糖控制及效果。方法:将社区内糖尿病高危患者随机分为观察组和对照组,观察组实行分级血糖控制干预,对照组实行一般血糖控制干预,比较两组患者在干预前后对糖尿病相关知识的了解情况、体重指数、口服葡萄糖耐药试验(OGTT)减少和空腹血糖增加结果。结果:观察组在实行控制血糖干预后对糖尿病相关知识的掌握程度明显升高(74.23%,93.14%),P<0.05;预前后的体重指数分别为(25.01±2.43)kg/m2和(23.88±0.31)kg/m2,体重分别为(64.32±8.97)kg和(61.45±6.12)kg,差异均具有统计学意义(P<0.05)。观察组OGTT减少为(1.01±0.55)mmol/L,对照组OGTT减少为(0.83±0.66)mmol/L,二者差异具有统计学意义(P<0.05)。观察组空腹血糖增加为(0.29±1.52)mmol/L,对照组空腹血糖增加为(0.52±1.03)mmol/L,二者差异具有统计学意义(P<0.05)。结论:实行分级血糖控制干预可提高糖尿病高危人群对糖尿病相关知识的掌握程度,降低体重指数和体重,减少OGTT,增加空腹血糖。
Objective: To investigate the glycemic control and effect of high risk population in community diabetes. Methods: The high-risk diabetic patients in the community were randomly divided into observation group and control group. The observation group received grading blood glucose control intervention. The control group received general glycemic control intervention. Comparisons of the two groups before and after the intervention on diabetes-related knowledge, body mass index , Oral glucose tolerance test (OGTT) decrease and fasting blood glucose increase results. Results: The degree of mastery of diabetes-related knowledge in the observation group was significantly higher (74.23%, 93.14%) after the control of blood sugar intervention, P <0.05. The body mass index of the observation group were (25.01 ± 2.43) kg / ± 0.31) kg / m2 and body weight were (64.32 ± 8.97) kg and (61.45 ± 6.12) kg, respectively, with statistical significance (P <0.05). The decrease of OGTT was (1.01 ± 0.55) mmol / L in the observation group and (0.83 ± 0.66) mmol / L in the control group, with statistical significance (P <0.05). The fasting blood glucose increased (0.29 ± 1.52) mmol / L in the observation group and (0.52 ± 1.03) mmol / L in the control group, with statistical significance (P <0.05). Conclusion: Hierarchical glycemic control intervention can increase the level of diabetes-related knowledge mastery, reduce body mass index and body weight, reduce OGTT and increase fasting blood glucose.