基于中医“治未病”理念的社区糖尿病健康管理效果评价  

Evaluation on effect of community diabetes health management based on the TCM concept of Preventive treatment of disease

作　　者：乔伟 倪茂昌 栾晶[2] 鲍勇[2] 

机构地区：[1]上海市浦东新区惠南镇社区卫生服务中心,200025 [2]上海交通大学公共卫生学院

出　　处：《职业与健康》2015年第1期91-94,共4页Occupation and Health

基　　金：浦东新区卫生局2011年度"浦东新区卫生系统优秀青年医学人才培养计划"--基于"中医治未病"理念的社区糖尿病健康管理应用研究(项目编号:PWRq2011-40)

摘　　要：目的将功法引导和耳穴疗法引入"中医治未病"服务项目,分析对糖尿病患者(已病)和高危对象(欲病)的管控效果,为社区糖尿病防治管理提供参考依据。方法在上海市浦东新区惠南镇荡湾社区选择欲病(120人)和已病(120人)35岁以上居民,将已病和欲病人群再按照干预类别分组,试验组在对照组一般西医管理的基础上进行中医功法导引和耳穴疗法干预,每组40人,共6组,做中医干预前后自身对照研究和试验对照研究。结果在已病患者中,一般西医管理组的血糖平均值由(7.60±1.25)mmol/L降为(6.25±0.85)mmol/L,功法引导组的血糖平均值由(7.76±1.40)mmol/L降为(6.16±0.42)mmol/L,耳穴疗法组的血糖平均值由(7.84±1.62)mmol/L降为(6.11±0.42)mmol/L,差异有统计学意义(P<0.05)。欲病人群中,一般西医管理组9人、功法引导组3人、耳穴疗法组2人转化为糖尿病(P<0.05)。无论已病患者还是欲病人群,耳穴疗法组的血糖、血压、血脂、尿蛋白、尿酸、并发症等指标的降低均大于功法引导组和一般管理组,差异有统计学意义(P<0.05)。结论将"中医治未病"理念用于社区糖尿病防治管理效果显著,在药物治疗基础上,配合功法引导和耳穴疗法均能有效改善糖尿病患者和高危人群的身体状况,其中,耳穴疗法优于功法引导。[Objective]To analyze the control and management effect of TCM service project based on the concept of Preventive treatment of disease,which include the Gongfa guide and auricular therapy,on the diabetic patients（who have gotten the disease）and high-risk subjects（who will get the disease）,provide the basis for community diabetes prevention and management.[Methods]120 diabetic patients and 120 high-risk people,who were over 35 years old,were collected from Dangwan Community of Huinan Town in Pudong New District of Shanghai. The diabetic patients and high-risk people were respectively divided into 3groups according to intervention measures,and there were a total of 6 groups,40 people in each group. The control groups received the routine treatment of Western Medicine,and the experimental groups were respectively given the Gongfa guide and auricular therapy on the basis of routine treatment. The self-control study and case-control study were conducted before and after intervention. [Results]Among diabetic patients,the mean blood glucose values in control group decreased from（7.60 ±1.25） mmol/L before intervention to（6.25±0.85） mmol/L after intervention,those in Gongfa guide group decreased from（7.76±1.40） mmol/L to（6.16±0.42）mmol/L,those in auricular therapy group decreased from（7.84±1.62）mmol/L to（6.11±0.42）mmol/L,and the differences were statistically significant（P0.01）. Among high-risk people,9 people in control group,3 people in Gongfa guide group and 2 people in auricular therapy group got the diabetes. No matter diabetic patients or high-isk people,the reduction levels of blood glucose,blood pressure,blood lipid,urine protein,uric acid and incidence rate of complications in auricular therapy group were greater than those in Gongfa guide group and control group,and the differences were statistically significant（P0.05）. [Conclusion]The community diabetes health management based on the TCM concept of Preventive treatment of disease has the remarkable result. On the ba

关 键 词：中医健康管理 糖尿病 功法引导 耳穴疗法 

分 类 号：R473.2[医药卫生—护理学]