中医治未病理论联合分级模式在社区糖尿病合并高血压患者中的应用  

Application of the combined grading model of the theory of preventive treatment of diseases in traditional Chinese medicine in diabetes patients with hypertension in the community

作　　者：李华 王平 姚慧 LI Hua;WANG Ping;YAO Hui(Community Department of Yichun Traditional Chinese Medicine Hospital,Yichun,Jiangxi 336000,China;Medical Department of Yichun Third People′s Hospital,Yichun,Jiangxi 336028,China)

机构地区：[1]宜春市中医院社区科,江西宜春336000 [2]宜春市第三人民医院医务科,江西宜春336028

出　　处：《现代医药卫生》2025年第3期703-706,711,共5页Journal of Modern Medicine & Health

摘　　要：目的 分析中医治未病理论联合分级模式在社区糖尿病合并高血压患者健康管理中的应用效果。方法 选取2022年5月至2023年5月该社区收治的80例糖尿病合并高血压患者作为研究对象,采用随机数字表法分为对照组和观察组,各40例。对照组给予常规健康管理干预,观察组给予中医治未病理论联合分级模式干预。2组患者均干预6个月。比较2组患者血糖变化情况、血压变化情况、自我健康管理行为能力、生活质量、并发症发生率和住院率。结果 观察组患者干预后空腹血糖(6.04±0.75)mmol/L、糖化血红蛋白(5.83±0.75)%、餐后2 h血糖(7.13±0.51)mmol/L均低于对照组[(7.52±0.81)mmol/L、(7.72±0.81)%、(8.52±0.68)mmol/L],差异均有统计学意义(P<0.05)。观察组患者干预后收缩压、舒张压[(129.03±10.51)、(78.04±9.15)mm Hg]均低于对照组[(135.42±10.68)、(82.62±9.71)mm Hg],差异均有统计学意义(P<0.05)。观察组患者干预后自我健康管理行为能力评分、生活质量评分均高于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率与住院率[5.00%(2/40)、2.50%(1/40)]均低于对照组[20.00%(8/40)、22.50%(9/40)],差异均有统计学意义(P<0.05)。结论 社区糖尿病合并高血压患者采用中医治未病理论联合分级模式干预,能有效控制患者的血糖、血压水平,促进患者健康管理能力和生活质量的提高,有效减少并发症发生,降低住院率,值得临床推广应用。Objective To analyze the application effect of the combined grading model of preventive treatment of diseases in traditional Chinese medicine in the health management of diabetes patients with hypertension in the community.Methods According to the random number table method,a total of 80 patients with diabetes combined with hypertension admitted to our community from May 2022 to May 2023 were selected and divided into control group(n=40)and observation group(n=40).The control group received routine health management intervention,while the observation group received intervention based on the theory of preventive treatment of diseases in traditional Chinese medicine combined with a graded model.Two groups were intervened for 6 months.Blood glucose changes,blood pressure changes,self-health management ability,quality of life,complication rate and hospitalization rate were compared between the two groups.Results After intervention,the fasting blood glucose in observation group was(6.04±0.75)mmol/L,the glycosylated hemoglobin was(5.83±0.75)%,and the blood glucose 2 h after meal was(7.13±0.51)mmol/L.It was lower than the control group[(7.52±0.81)mmol/L,(7.72±0.81)%,(8.52±0.68)mmol/L],and the differences were statistically significant(P<0.05).After intervention,the systolic blood pressure and diastolic blood pressure of observation group were(129.03±10.51)mm Hg and(78.04±9.15)mm Hg lower than that of control group[(135.42±10.68)mm Hg and(82.62±9.71)mm Hg],and the differences were statistically significant(P<0.05).The score of self-health management ability and quality of life of observation group were higher than those in control group after intervention,with statistical significance(P<0.05).The incidence of complications and hospitalization in the observation group[5.00%(2/40),2.50%(1/40)]were lower than those in the control group[20.00%(8/40),22.50%(9/40)],and the differences were statistically significant(P<0.05).Conclusion The combined grading model of preventive treatment of diseases in traditional Chines

关 键 词：糖尿病合并高血压 中医治未病理论 分级模式 健康管理 

分 类 号：R259.871[医药卫生—中西医结合]