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目的探讨在社区实行糖尿病患者一体化管理的效果。方法选取2014年6月—2015年6月深圳市宝安区松岗人民医院社区康复中心100例糖尿病患者,随机分为观察组50例(社区一体化模式管理)和对照组50例(传统模式管理)。对比两组管理1年前后患者餐前血糖(FPG),餐后2h血糖(2hPG),糖化血红蛋白(HbA1c),血清总胆固醇(TC),甘油三酯(TG),高密度脂蛋白胆固醇(HDL-C)以及低密度脂蛋白胆固醇(LDL-C)的糖脂代谢效果,并进行评价。结果观察组管理后FPG、2hPG、HbA1c、TC及TG均较对照组有大幅度下降,两组比较差异均有统计学意义(P<0.05)。观察组总有效率为40.00%,服药率60.00%,均高于对照组(10.00%,90.00%),两组比较差异有统计学意义(P<0.05)。结论社区一体化管理模式对于患者的糖脂代谢均有较为显著的效果,能够进一步稳定患者的各项代谢指标,较传统的管理模式能更有效的控制糖尿病患者的病情。
Objective To explore the effect of integrated management of patients with diabetes in the community. Methods From June 2014 to June 2015, 100 cases of diabetic patients in Songgang People’s Hospital Community Rehabilitation Center in Bao’an District of Shenzhen City were randomly divided into observation group of 50 cases (community integrated mode management) and control group of 50 cases (traditional model management ). The levels of plasma glucose (FPG), 2hPG, HbA1c, TC, TG, HDL (HDL) -C), and low-density lipoprotein cholesterol (LDL-C) glucose and lipid metabolism, and evaluated. Results The levels of FPG, 2hPG, HbA1c, TC and TG in the observation group decreased significantly compared with those in the control group. The differences between the two groups were statistically significant (P <0.05). The total effective rate in the observation group was 40.00% and the medication rate was 60.00%, both higher than that in the control group (10.00%, 90.00%). There was significant difference between the two groups (P <0.05). Conclusion The community integrated management mode has a significant effect on patients with glucose and lipid metabolism, can further stabilize the patient’s metabolic indicators, more effective than the traditional management model to control the condition of diabetic patients.