体检人群中空腹血糖受损人群的健康管理模式探讨  

Discussion on the Health Management Model of the People With Impaired Fasting Blood Glucose in Physical Examination

作　　者：张春兰 叶思婷 ZHANG Chunlan;YE Siting(Department of Health Management Physical Examination Center,the Fifth Affiliated Hospital of Sun Yat-sen University,Zhuhai Guangdong 519000,China)

机构地区：[1]中山大学附属第五医院健康管理中心体检部,广东珠海519000

出　　处：《中国继续医学教育》2021年第35期193-198,共6页China Continuing Medical Education

摘　　要：目的对体检人群中空腹血糖受损人群的健康管理模式进行探讨分析。方法将在2019年1月—2021年5月在中山大学附属第五医院健康管理中心体检部的体检人员和社区普查人群的空腹血糖受损人群(IFC)总计100例,按照随机数表法分成,将受检者分为对照组(50例)与试验组(50例),其中对照组仅进行健康教育指导干预,而试验组在对照组基础上实施健康管理模式干预。对两组受检者干预前、后的空腹血糖(FBG)、餐后2 h血糖(2h-PBG),总胆固醇(TC),甘油三酯(TG),BMI、对管理与健康生活的依从性进行比较。结果干预后两组受检者FBG、2h-PBG、TC、TG、BMI水平均明显降低,其中试验组FBG、2h-PBG、TC、TG、BMI水平明显低于对照组,试验组对禁烟戒酒、健康饮食、规律生活、适当运动依从性良好率均高于对照组,差异均有统计学意义(P<0.05)。结论对体检人群中空腹血糖受损人群,采取健康管理模式,可明显的降低受检者空腹血糖及餐后2h血糖水平,并有效降低血脂水平,降低BMI水平,提升受检者对管理干预与健康生活的依从性,效果理想。Objective To observe and analyze the health management mode of the people with impaired fasting blood glucose. Methods A total of 100 patients with impaired fasting blood glucose(IFC) in the physical examination department of the health management center of the Fifth Affiliated Hospital of Sun Yat sen University from January2019 to May 2021 were divided into control group(50 cases) and experimental group(50 cases) according to the random number table method. The control group only received health education guidance and intervention,The experimental group implemented health management model intervention on the basis of the control group.The fasting blood glucose(FBG), 2 h postprandial blood glucose(2 H PBG), total cholesterol(TC), triglyceride(TG), BMI, compliance with management and healthy life were compared between the two groups before and after intervention. Results After the intervention, the levels of FBG, 2 h PBG, TC, TG and BMI in the two groups decreased significantly. The levels of FBG, 2 h-PBG, TC,TG and BMI in the experimental group were significantly lower than those in the control group. The patients in the experimental group were more satisfied with smoking and alcohol prohibition, healthy diet, regular life The good rates of proper exercise compliance were higher than those in the control group(P<0.05). Conclusion For the people with impaired fasting blood glucose in the physical examination population, adopting the health management mode can significantly reduce the fasting blood glucose and 2-h postprandial blood glucose level of the subjects, effectively reduce the blood lipid level, reduce the BMI level, and improve the subjects’ compliance with management intervention and healthy life.

关 键 词：体检人群 空腹血糖 受损人群 健康管理 血脂水平 模式探讨 

分 类 号：R194[医药卫生—卫生事业管理]