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选取在本院门诊体检人员366人,均符合糖尿病高危诊断标准,根据抽取扑克牌法随机分为干预组(166人)与对照组(200人)。干预组运用人工神经网络与能量监测仪对个体饮食和运动量化干预,并给予用药与心理指导,持续2年。结果与对照组相比,干预组体重、腹围、血压、空腹血糖、血脂均下降明显,差异显著(P<0.05),有统计学意义。10年内糖尿病发病率,干预组为0,对照组为8.0%,差异显著(P<0.05),有统计学意义。从远期效果来看,城市高危人群的干预效果明显好于农村(P<0.05);退休人员明显好于在职人员(P<0.05)差异显著,有统计学意义。男性与女性干预效果差异不显著(P>0.05),无统计学意义。结论持续强化干预有助于帮助2型糖尿病高危人群构建健康生活方式,消除糖尿病诱因,从而降低糖尿病发病率。
366 people were selected for outpatient checkup in our hospital. All of them were in line with the high-risk diagnosis of diabetes mellitus, and randomly divided into intervention group (166 persons) and control group (200 persons) according to the poker playing method. Intervention group using artificial neural network and energy monitor on individual diet and exercise quantitative intervention, and given medication and psychological guidance for 2 years. Results Compared with the control group, the body weight, abdominal circumference, blood pressure, fasting blood glucose and blood lipids in the intervention group decreased significantly (P <0.05), with statistical significance. The incidence of diabetes in 10 years was 0 in the intervention group and 8.0% in the control group, with significant difference (P <0.05), with statistical significance. From the long-term results, the intervention effect of urban high-risk groups was significantly better than that of rural areas (P <0.05); Retirees were significantly better than the working staff (P <0.05), and the difference was statistically significant. There was no significant difference between male and female interventions (P> 0.05). There was no statistical significance. CONCLUSION: Continuous intensive intervention helps to build a healthy life style in people at risk of type 2 diabetes, and to eliminate the causes of diabetes and thus reduce the incidence of diabetes.