中医元素健康管理在高血压糖尿病的管理中的效果  

Effect of integrated traditional and Western medicine health management on hypertension and diabetes patients

作　　者：刘桂圆 张开金[1] 杨菊[1] 王雨晴[1] 陶阳红 余有任 马永华[1] 

机构地区：[1]东南大学公共卫生学院,江苏南京210009

出　　处：《中国老年学杂志》2016年第9期2095-2097,共3页Chinese Journal of Gerontology

基　　金：国家自然科学基金资助项目(No.70973018)

摘　　要：目的探讨中医元素的健康管理理念,构建中国特色的社区健康管理方案。方法在社区体检人群中筛选出1 932名糖尿病和高血压患者及高危人群,采用中西医结合技术,进行为期2年的社区健康管理。结果 2年后被管理对象不参加锻炼的人数由1 853名下降到592名,戒烟人数由41名增加到249人,每天饮酒人数由272人下降到73人,体重指数(BMI)达标率由41.8%上升到47.3%人,空腹血糖(FPG)达标率由84.6%上升到87.7%,收缩压(SBP)达标率由6.4%上升到46.2%,舒张压(DBP)达标率由3.4%上升到35.1%,差异具有统计学意义(P<0.05,P<0.01);各项血脂指标达标率上升,但差异无统计学意义(P>0.05)。结论中西医结合社区健康管理能改善糖尿病高血压患者及高危人群的不良生活方式,帮助其建立健康的行为习惯,对管理对象的BMI、血糖、血压等指标有改善作用,提高血压、血糖达标率。Objective To study the health management with elements of traditional Chinese medicine and build community health management with Chinese characteristics. Methods 1 932 patients with hypertension and diabetes and people who had high risk of hypertension and diabetes were selected through community health examination. They were given integrated traditional and Western medicine health management for 2 years. Results After 2 years of management,the number of people who didn＇t participate in physical exercises was decreased from 1 853 to 592,the number of people who stopped smoking was increased from 41 to 249,the number of people who drinked every day was decreased from 272 to 73（ P 0. 001）. The qualified rate of BMI was went up from 41. 8% to 47. 3%,the qualified rate of FPG was went up from 84. 6% to 87. 7%,the qualified rate of SBP was went up from 6. 4% to 46. 2%,the qualified rate of DBP was went up from3. 4% to 35. 1%,and the difference was statistically significant（ P 0. 05）. The qualified rate of blood lipids indicators was went up,but the difference was not statistically significant（ P 0. 05）. Conclusions The integrated traditional and western medicine health management could change the unhealthy lifestyle of people who has high risk of hypertension and diabetes and patients with hypertension and diabetes,help them build healthy habits,improve their qualified rate of BMI,FPG,SBP and DBP effectively.

关 键 词：高血压 糖尿病 中西医结合 健康管理 

分 类 号：R211[医药卫生—中医学]