空腹血糖调节受损老年患者的社区健康管理效果  

The effect of community health management on elderly patients with impaired fasting glucose

作　　者：孙辉 杭洪霞 SUN Hui;HANG Hongxia(Zaozhuang Shizhong District People's Hospital,Zaozhuang 277101,China;Community Health Service Center,Zaozhuang Maternal and Child Health Hospital,Zaozhuang 277100,China)

机构地区：[1]枣庄市市中区人民医院,山东枣庄277101 [2]枣庄市妇幼保健院市中区文化路街道社区卫生服务中心,山东枣庄277100

出　　处：《山东第一医科大学（山东省医学科学院）学报》2022年第7期529-533,共5页Journal of Shandong First Medical University ＆ Shandong Academy of Medical Sciences

基　　金：山东省基层卫生科技创新计划(JCK20036)。

摘　　要：目的研究空腹血糖调节受损(impaired fasting glucose,IFG)老年患者的社区健康管理效果,提高糖尿病防控质量。方法将2014至2016年在枣庄市妇幼保健院文化路街道社区服务中心接受社区卫生服务的65岁以上IFG的患者随机分为观察组、对照组,观察组进行个体化综合管理措施干预,对照组给予常规的社区健康干预。比较两组患者5年后糖尿病转化率。观察两组干预前后血压、体质量指数(body mass index,BMI)、腰围、血脂、肝肾功能、新确认高血压病及心电图出现ST-T异常等情况。结果观察组患者5年后2型糖尿病的转化率、空腹血糖值低于对照组,差异均有统计学意义(P<0.05)。两组患者总胆固醇、甘油三酯、天门冬氨酸氨基转移酶、丙氨酸氨基转移酶、总胆红素较干预前均降低,但两组比较差异无统计学意义(P>0.05)。结论IFG患者容易合并高血压病,个体化综合社区健康管理措施可以降低该类人群的2型糖尿病转化率和平均空腹血糖水平。Objective:To study the effect of community health management on elderly patients with impaired fasting glucose(IFG).Methods:The patients over 65 with IFG were randomly divided into an observation group and a control group.The observation group received the individualized comprehensive intervention,while the control group was given routine community health intervention.The diabetes conversion rates of the two groups were Counted after 5 years.The dynamic development trends of blood pressure,body mass index,waist circumference,blood lipids,and liver and kidney function in the two groups were observed.Their clinical characteristics and the changes after different health interventions were summarize,and the correlation was discussed.The incidence of fatty liver,the proportion of new diagnosed hypertension,coronary heart disease,stroke,and ST-T abnormalities in the electrocardiogram of the two groups were compared and analyzed.Results:The conversion rate of type 2 diabetes in the observation group was better than that of the control group.The FPG level of the observation group was also lower than that of the control group.Though the CHO,TG,AST,ALT,and TBIL were lower before the intervention,there was no significant difference between the two groups.Conclusion:Patients with IFG are prone to concurrent hypertension.Individualized comprehensive management in the community can reduce the conversion rate and average fasting blood sugar of type 2 diabetics.

关 键 词：2型糖尿病 空腹血糖调节受损 社区卫生服务 社区健康管理 

分 类 号：R473.2[医药卫生—护理学]