摘要
目的探讨研究社区全科医生慢性非传染性疾病管理在防治糖尿病中的应用价值。方法随机选取2011年3月—2013年12月某社区确诊糖尿病患者及门诊糖尿病患者各67例,对两组患者分别进行治疗管理,对社区糖尿病患者给予社区慢病管理治疗方法,对门诊糖尿病患者给予常规管理治疗方法,观察并记录两组患者经过6个月治疗管理后的空腹血糖、餐后2 h血糖、糖化血红蛋白、胆固醇及甘油三酯等生化指标,对比两组数据。结果 6个月后社区组在空腹血糖、餐后2h血糖、糖化血红蛋白、胆固醇及甘油三酯等生化指标明显优于门诊组,P<0.05,差异有统计学意义。结论通过社区全科医生慢病管理的糖尿病患者的治疗效果更好,更能降低并发症的发生率,是社区中防治糖尿病的简单、有效的方法,更值得推广。
Objective To study the value of community general practitioner chronic non-communicable diseases management for the prevention and treatment of diabetes. Methods 67 cases with confirmed diabetes in the community and 67 outpatients with dia-betes were randomly selected and given the treatment and management respectively. The community diabetic patients were given the community chronic disease management and treatment, while the outpatients with diabetes were given the conventional man-agement and treatment. The biochemical indicators such as fasting blood glucose, 2h postprandial blood glucose, glycosylated hemoglobin, cholesterol, triglyceride and so on of the two groups after 6-month treatment and management were observed, recorded and compared. Results After 6 months of treatment and management, the biochemical indicators such as fasting blood glucose, 2h postprandial blood glucose, glycosylated hemoglobin, cholesterol, triglyceride and so on of the community group were significantly better than those of the outpatient group, the differences were statistically significant, P<0.05. Conclusion Community general prac-titioner chronic disease management is a simple and effective method for preventing and treating diabetes in the community, it can achieve better treatment effect with lower incidence of complications, and is more worthy of promotion.
出处
《糖尿病新世界》
2014年第8X期1-2,共2页
Diabetes New World Magazine
关键词
全科医生
社区慢病规范化管理
糖尿病
General practitioner
Community chronic disease standardized management
Diabetes
