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目的探讨社区慢性病管理对糖尿病前期患者糖代谢指标改善的影响。方法选取2016年12月~2017年1月我院收治的糖尿病前期患者90例,以随机数表抽取法将其分为对照组观察组各45例,对照组给予常规社区管理,观察组给予社区慢性病管理,对两组患者干预后的糖代谢指标改善情况进行对比。结果观察组患者的空腹血糖、餐后2 h血糖、糖化血红蛋白、血脂水平等指标均明显低于对照组,差异有统计学意义(P<0.05)。结论在糖尿病前期患者中应用社区慢性病管理方案有利于缓解患者病情,改善患者的糖代谢指标,实用价值显著。
Objective To investigate the effect of chronic community management on the improvement of glucose metabolism in patients with pre-diabetes. Methods 90 patients with pre-diabetes in our hospital from December 2016 to January 2017 were randomly divided into the control group (n = 45) and the control group (n = 45). The control group was given routine community management and the observation group was given to the community Chronic disease management, the two groups of patients after intervention to improve glucose metabolism indicators were compared. Results The fasting blood glucose, postprandial 2h blood glucose, glycosylated hemoglobin and blood lipid levels in the observation group were significantly lower than those in the control group (P <0.05). Conclusion The application of community-based chronic disease management in pre-diabetic patients is beneficial to relieve the patient’s condition and improve the patients’glycometabolism index, and has practical value.