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目的了解影响糖耐量低减(IGT)者干预管理效果的因素。方法在社区糖耐量低减人群中开展健康行为指导,纠正不良生活习惯,提供适宜个体的饮食、运动处方,于干预前、后进行问卷调查、体质检测、餐后血糖及糖化血红蛋白检测,并对检测结果进行分析。结果(1)糖耐量低减合并有不同病史、危险因素者的干预效果不同;(2)糖耐量低减者两次生化检测结果显示有>50%的人员血糖得到控制;(3)同时具有家族遗传史、吸烟及肥胖者与血糖控制程度有相关性且成反比;(4)干预前、后不同血糖水平者血糖变化不同;(5)体质检测合格率由干预前的69%提高到了干预后的84%;(6)肺活量及台阶指数分级有改善,但体重控制效果不显著。结论多种危险因素并存对血糖控制不利,是影响干预管理效果的主要因素。对体重的控制仍然是一个难点。
Objective To understand the factors influencing the intervention management of patients with impaired glucose tolerance (IGT). Methods Healthy behavior guidance was conducted in community with impaired glucose tolerance, correct unhealthy habits, provide appropriate individual diet and exercise prescriptions, questionnaire survey, physical examination, postprandial blood glucose and glycosylated hemoglobin test before and after intervention Test results for analysis. Results (1) Low glucose tolerance with different medical history and risk factors were different; (2) Two biochemical tests showed that more than 50% of patients had glucose control; (3) Family history, smoking and obesity are related to the degree of glycemic control and inversely proportional; (4) blood glucose changes with different blood glucose levels before and after intervention; (5) the passing rate of physical examination increased from 69% pre-intervention to intervention (84%); (6) The vital capacity and the grade index improved, but the effect of weight control was not significant. Conclusion The coexistence of multiple risk factors is not good for glycemic control, which is the main factor affecting the management effect of intervention. Weight control is still a difficult task.