健康管理干预在超重糖尿病高危人群中的应用效果分析  

Application Effect Analysis of Health Management Intervention in Overweight Population at High Risk of Diabetes

作　　者：周凤燕 吴想军 覃庆榕 林春博 Zhou Fengyan;Wu Xiangjun;Qin Qingrong;Lin Chunbo(Department of Health Management,Physical Examination Center,Guangxi Medical University Kaiyuan Langdong Hospital,Nanning 530028,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]广西医大开元埌东医院体检中心健康管理科,广西壮族自治区南宁530028

出　　处：《中国社区医师》2024年第13期132-134,共3页Chinese Community Doctors

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(编号:Z20191042)。

摘　　要：目的:探讨健康管理干预在超重糖尿病高危人群中的应用效果。方法:选取2021年10月-2022年10月广西医大开元埌东医院体检中心健康管理科60例超重糖尿病高危者作为研究对象,以随机数字表法分为对照组和观察组,各30例。对照组接受常规干预,观察组实施健康管理干预。比较两组生化指标、减重效果。结果:干预前,两组血清总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、空腹血糖、糖化血红蛋白(HbA1c)水平比较,差异无统计学意义(P>0.05);干预后,两组TC、TG、LDL-C、空腹血糖、HbA1c水平低于干预前,且观察组低于对照组,两组HDL-C水平高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预前,两组体质量指数(BMI)、体脂率、内脏脂肪面积比较,差异无统计学意义(P>0.05);干预后,两组BMI、体脂率低于干预前,且观察组低于对照组,两组内脏脂肪面积小于干预前,且观察组小于对照组,差异有统计学意义(P<0.05)。观察组减重有效率高于对照组,差异有统计学意义(P=0.020)。结论:健康管理干预在超重糖尿病高危人群中的应用效果较好,能够改善血脂、血糖指标,提高减重效果。Objective:To explore the application effect of health management intervention in overweight population at high risk of diabetes.Methods:A total of 60 overweight patients at high risk of diabetes in Department of Health Management of Physical Examination Center of Guangxi Medical University Kaiyuan Langdong Hospital from October 2021 to October 2022 were selected as the study subjects.They were divided into control group and observation group according to random number table method,with 30 cases in each group.The control group received conventional intervention,and the observation group received health management intervention.The biochemical indexes and weight loss effects in the two groups were compared.Results:Before intervention,there was no significant difference in serum total cholesterol(TC),triglyceride(TG),low-density lipoprotein cholesterol(LDL-C),high-density lipoprotein cholesterol(HDL-C),fasting blood glucose,and glycosylated hemoglobin(HbA1c)levels between the two groups(P>0.05).After intervention,the levels of TC,TG,LDL-C,fasting blood glucose and HbA1c in the two groups were lower than those before intervention,and the levels in the observation group were lower than those in the control group,while the levels of HDL-C in the two groups were higher than those before intervention,and the levels in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).Before intervention,there was no significant difference in body mass index(BMI),body fat rate,and visceral fat area between the two groups(P>0.05).After intervention,the BMI and body fat rate in the two groups were lower than those before intervention,and these indicators in the observation group were lower than those in the control group,while the visceral fat area in the two groups was smaller than that before intervention,and this indicator in the observation group was smaller than that in the control group,and the difference was statistically significant(P<0.05).The effective rate of

关 键 词：健康管理干预 超重 糖尿病高危人群 

分 类 号：R193[医药卫生—卫生事业管理]