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[目的]探索肥胖儿童2型糖尿病的社区管理适宜模式。[方法]2008年对深圳市宝安与光明新区5所中、小学肥胖儿童中筛查出的2型糖尿病和高危者建立档案,采用多种形式进行为期1年的社区综合干预。[结果]198名儿童及家长对糖尿病相关知识、饮食控制、运动疗法、药物疗法、按时体检的知晓率,干预1年后均高于干预前(P<0.01);儿童空腹血糖、餐后2 h血糖、糖化血红蛋白、总胆固醇和甘油三酯,干预1年后均明显低于干预前(P<0.01)。[结论]对肥胖儿童中的2型糖尿病患者和高危人群开展社区综合干预,对儿童2型糖尿病的预防和治疗有明显的效果。
[Objective] To explore the appropriate mode of community management for obese children with type 2 diabetes mellitus. [Method] In 2008, a file was established for type 2 diabetes and high-risk patients screened from 5 primary and secondary obese children in Baoan and Guangming New District of Shenzhen City. Various forms of community-based comprehensive intervention for one year were used. [Result] 198 children and their parents had higher knowledge of diabetes, diet control, exercise therapy, drug therapy and on time physical examination, and their intervention rate after one year was higher than that before intervention (P <0.01). The fasting blood glucose, postprandial 2 h blood glucose, glycosylated hemoglobin, total cholesterol and triglyceride were significantly lower than those before intervention (P <0.01) one year after intervention. [Conclusion] Community-based intervention in obese children with type 2 diabetes and high-risk population has obvious effect on the prevention and treatment of type 2 diabetes in children.