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[目的]探索代谢综合征(MS)社区干预、防治的适宜技术,提高对MS的防治、干预效果。[方法]根据中华糖尿病学会(CDS)制定的MS判断标准,对受检对象进行甄别、筛选,将符合MS判断标准的328名对象随机分为强化干预组181人和一般干预组147人,观察干预前后两组人群空腹血糖、糖化血红蛋白、血压、血脂、尿微量蛋白、体重指数(BMI)等指标的变化情况。[结果]通过1年半不同干预模式的干预后,两组人群的空腹血糖、糖化血红蛋白、糖调节异常转归、血压、血脂等方面差异均有统计学意义。尿微量白蛋白、BMI转变方面差异无统计学意义。[结论]通过社区强化干预可降低MS伴糖尿病患者的血糖、糖化血红蛋白水平,降低MS伴高血压者的血压水平,调节MS伴血脂紊乱者的血脂水平,同时可能降低糖调节异常转变为糖尿病以及降低糖尿病发病率。
[Objective] To explore the appropriate technology for community intervention and prevention and control of metabolic syndrome (MS), and to improve the prevention and intervention of MS. [Methods] According to the criteria of MS established by Chinese Diabetes Society (CDS), the subjects were screened and screened, and 328 subjects meeting MS criteria were randomly divided into intensive intervention group (n = 181) and general intervention group (n = 147) The changes of fasting blood glucose, glycosylated hemoglobin, blood pressure, blood lipids, urine microalbumin, body mass index (BMI) and other indicators of the two groups before and after intervention were analyzed. [Results] After one and a half years of intervention with different intervention modes, the differences of fasting blood glucose, glycosylated hemoglobin, abnormal glucose regulation, blood pressure and blood lipid between the two groups were statistically significant. Urine microalbumin, BMI changes in the no significant difference. [Conclusion] Intensive intervention can reduce the level of blood glucose, HbA1c in MS patients with diabetes mellitus, decrease the blood pressure level in MS with hypertension, and regulate the blood lipid level in MS patients with dyslipidemia, and may also reduce the change of glucose regulation to diabetes and Reduce the incidence of diabetes.