不同健康管理模式对糖尿病患者血糖控制及并发症防控的效果分析  

Effects of Different Health Management Models on Blood Sugar Control and Complications Prevention and Control in Diabetic Patients

作　　者：李艳[1] LI Yan(Qilu Hospital of Shandong University,Ji’nan,Shandong,250012,China)

机构地区：[1]山东大学齐鲁医院,山东济南250012

出　　处：《黑龙江医学》2022年第2期228-229,232,共3页Heilongjiang Medical Journal

摘　　要：目的:探究对糖尿病患者实施不同健康管理模式在血糖控制及并发症防控方面所产生的效果分析。方法:选取2018年1月—2019年12月山东大学齐鲁医院收治的110例糖尿病患者进行研究,按时间分段法分为两组。2018年1—12月接收的55例实施常规健康管理,纳入A组,2019年1—12月接收的55例实施综合健康管理,纳入B组。观察管理前后血糖、血压控制情况、焦虑自评量表(SAS)得分及并发症发生情况。结果:两组患者糖化血红蛋白(HbAlc)、空腹血糖(FBG)、餐后2小时血糖(2hPG)水平较管理前降低,且B组降低幅度大于A组,差异有统计学意义(t=2.810、3.825、7.766,P<0.05)。两组患者收缩压以及舒张压水平较管理前降低,且B组降低幅度大于A组,差异有统计学意义(t=9.080、10.210,P<0.05)。两组患者SAS得分较管理前降低,且B组降低幅度大于A组,差异有统计学意义(t=7.858,P<0.05)。B组并发症发生率为10.91%,低于A组的21.82%,差异有统计学意义(χ^(2)=4.348,P<0.05)。结论:对糖尿病患者采取综合管理模式能够有效控制血糖、血压,改善其焦虑情绪,同时减少并发症的发生,效果显著。Objective:To explore the effects of different health management modes on the blood glucose controls and complication preventions of diabetes mellitus patients.Methods:110 diabetes mellitus patients treated from January 2018 to December2019 in the hospital were selected.According to time slicing method,they were divided into two groups.The 55 cases received from January to December 2018 for routine health management were included in group A,and the 55 cases received from January to December 2019 for comprehensive health management were included in group B.The blood glucose,blood pressure control,SAS scores and complications were observed before and after management.Results:The levels of glycosylated hemoglobin(HbAlc),fasting blood glucose(FBG),and two-hour postprandial blood glucose(2 hPG)in group B were lower than before management,and the decrease in group B was greater than that in group A,the difference was statistically significant(t=2.810,3.825,7.766,P<0.05).The systolic and diastolic blood pressure levels of the two groups were lower than before management,and the decrease of group B was greater than that of group A,the difference was statistically significant(t=9.080,10.210,P<0.05).The SAS scores of the two groups were lower than before management,and the reduction of group B was greater than that of group A,the difference was statistically significant(t=7.858,P<0.05).The complication rate in group B was 10.91%,which was lower than 21.82%in group A,and the difference was statistically significant(χ^(2)=4.348,P<0.05).Conclusion:Adopting a comprehensive management model for diabetic patients can effectively control blood sugar and blood pressure,improve their anxiety,and reduce the occurrence of complications,with significant effects.

关 键 词：糖尿病 健康管理 血糖控制 并发症 

分 类 号：R587.1[医药卫生—内分泌]