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目的分析上海市松江区社区糖尿病高危人群分级干预效果,以期创建一个新型社区糖尿病高危人群管理模式。方法以社区随机对照试验设计,通过比较两组干预前后各指标的变化了解干预效果。结果干预24个月之后,干预组对象总体糖尿病知识知晓率平均上升14.73%,体重指数减少1.1 kg/m2,体重下降2.31 kg,危险计分减少5.7分;对照组对象总体糖尿病知识知晓率平均上升0.52%,体重指数上升0.23 kg/m2,体重增加0.28 kg,危险计分增加2.61分;干预组空腹血糖增加较对照组少0.22 mmol/L,干预组口服葡萄糖耐药试验(OGTT)减少较对照组多0.15 mmol/L。结论分级干预这一新型社区糖尿病高危人群管理模式能帮助高危人群提高糖尿病知识知晓率,减轻体重,降低危险因素计分,但未发现降低血糖值方面的改善。
Objective To analyze the grading effect of community-based high-risk diabetes in Songjiang District, Shanghai, with a view to creating a new management model of community-based high risk population of diabetes. Methods Randomized controlled trial design in community was used to compare the changes of each index before and after intervention to understand the intervention effect. Results After intervention for 24 months, the average rate of diabetes awareness in the intervention group increased by 14.73% on average, body mass index decreased by 1.1 kg / m2, body weight decreased by 2.31 kg, and risk score decreased by 5.7 points. On the average, the awareness rate of overall diabetes knowledge increased 0.52%, body mass index increased 0.23 kg / m2, body weight increased 0.28 kg, risk score increased 2.61 points; intervention group fasting blood glucose increased 0.22 mmol / L less than the control group, intervention group oral glucose tolerance test (OGTT) Group 0.15 mmol / L more. Conclusion Grading intervention, a new community-based management model of diabetes at high risk, can help people at high risk of diabetes to improve awareness, reduce weight and reduce risk factors scores, but did not find any improvement in blood glucose levels.