老年糖尿病患者合并高脂血症的社区诊治探究  

Research on Community Diagnosis and Treatment of Elderly Diabetic Patients with Hyperlipidemia

作　　者：杨桢 YANG Zhen(Youanmen Community Health Service Center,Fengtai District,Beijing,100069 China)

机构地区：[1]北京市丰台区右安门社区卫生服务中心,北京100069

出　　处：《糖尿病新世界》2020年第17期190-192,195,共4页Diabetes New World Magazine

摘　　要：目的以糖尿病合并高脂血症老年患者为研究对象,分析为患者提供社区诊治的方法及效果。方法将41例自2018年4月—2019年4月在该社区服务中心接受诊治的老年糖尿病合并高脂血症患者纳入研究范围,于患者入该社区服务中心接受诊治时为其建立健康档案并为其提供规范化管理,对比干预前后患者血糖水平、血脂水平及生活质量改善情况。结果干预后入组患者HbAlc、FPG、2 hPG等各项血糖指标水平与干预前相比均明显降低,且干预前后各项血糖指标水平差异有统计学意义(P<0.05)。干预后入组患者TG、TC等各项血脂指标水平与干预前相比均明显降低且干预前后各项血脂指标水平差异有统计学意义(P<0.05)。干预后患者生理职能、精神健康、社会功能等各项生活质量指标评分均较干预前升高,且干预前后患者各项生活质量指标评分差异有统计学意义(P<0.05)。结论糖尿病合并高脂血症老年患者采用规范化社区诊治能够取得理想的降糖及降脂效果,可促进其预后改善并能够使其生活品质获得显著改善。Objective Taking elderly patients with diabetes mellitus and hyperlipidemia as the research object,to analyze the methods and effects of community diagnosis and treatment for patients.Methods 41 elderly patients with diabetes and hyperlipidemia who were diagnosed and treated in the community service center from April 2018 to April 2019 were included in the study,and health records were established for the patients when they entered our community service center for diagnosis and treatment to provide standardized management,to compare the improvement of patients'blood glucose levels,blood lipid levels and quality of life before and after intervention.Results After the intervention,the blood glucose levels of patients in the group including HbAlc,FPG,2 hPG,etc.were significantly lower than those before the intervention,and the differences in blood glucose levels before and after the intervention were statistically significant(P<0.05).After the intervention,the levels of TG,TC and other blood lipid indexes of the patients in the group were significantly lower than those before the intervention,and the differences in the levels of blood lipid indexes before and after the intervention were statistically significant(P<0.05).After the intervention,the patient's physiological function,mental health,social function and other quality of life index scores were higher than before the intervention,and the patient's quality of life index scores were statistically significant before and after the intervention(P<0.05).Conclusion Standardized community diagnosis and treatment of elderly patients with diabetes and hyperlipidemia can achieve ideal hypoglycemic and lipid-lowering effects,which can improve their prognosis and can significantly improve their quality of life.

关 键 词：老年糖尿病患者 高脂血症 社区诊治效果 

分 类 号：R587.1[医药卫生—内分泌]