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目的探讨2型糖尿病社区强化管理的模式。方法选择已确诊的45例2型糖尿病患者为观察对象,采用健康知识教育、量化饮食、量化运动和指导合理用药的手段,进行为期1年的社区健康促进管理,观察其中10项指标。结果经过12个月的管理,糖尿病患者的健康意识明显提高,各项指标均有不同程度好转,其中总胆固醇、高密度脂蛋白和低密度脂蛋白改变不明显(P>0.05);而血压、体重、腰围、空腹血糖、甘油三脂、糖化血红蛋白等指标均有明显好转(P<0.01)。结论以饮食、运动、能量平衡为核心的健康促进对2型糖尿病治疗取得了一定效果。
Objective To explore the mode of community-based management of type 2 diabetes. Methods Forty-five patients with type 2 diabetes mellitus were selected as observation subjects. One year’s community health promotion management was conducted by using health knowledge education, quantitative diet, quantitative exercise and guidance of rational drug use. Ten indicators were observed. Results After 12 months of management, the health awareness of diabetic patients was significantly improved, and all the indicators improved to some extent. The changes of total cholesterol, high density lipoprotein and low density lipoprotein were not significant (P> 0.05) Weight, waist circumference, fasting blood glucose, triglycerides, glycosylated hemoglobin and other indicators were significantly improved (P <0.01). Conclusion The health promotion centering on diet, exercise and energy balance has achieved some effects on the treatment of type 2 diabetes.