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目的探讨社区治疗与强化管理对2型糖尿病患者的治疗效果及依从性。方法对广州市越秀区大东街社区卫生服务中心2012年1月～2013年1月收治的104例2型糖尿病患者的临床资料进行回顾性分析。将患者随机分为两组,每组52例。观察组采取药物治疗、糖尿病教育、饮食控制、运动治疗、血糖监测等综合治疗;对照组不实施主动治疗。干预前后检测血糖水平和评判患者依从性。结果接受1年的社区治疗和强化管理后,观察组的空腹血糖(FPG)、餐后2 h血糖(2h PG)均低于治疗前,也低于对照组,差异均有统计学意义(P<0.05);观察组的依从性(73.08%)均高于治疗前(48.08%)及对照组(50.00%),差异有统计学意义(P<0.05)。结论社区治疗与强化管理不仅能有效控制2型糖尿病患者血糖,还可提高患者的依从性,使其更积极的配合治疗。
Objective To explore the effect and compliance of community treatment and intensive management on type 2 diabetes mellitus patients. Methods The clinical data of 104 patients with type 2 diabetes mellitus admitted to Dadong Street Community Health Service Center in Yuexiu District of Guangzhou from January 2012 to January 2013 were analyzed retrospectively. The patients were randomly divided into two groups, each group of 52 cases. Observation group to take medication, diabetes education, diet control, exercise therapy, blood glucose monitoring and other comprehensive treatment; control group does not implement active treatment. Blood glucose levels were measured before and after intervention and patients’ compliance was evaluated. Results After one year of community therapy and intensive management, the fasting blood glucose (FPG) and 2 h postprandial plasma glucose (2 h PG) in the observation group were lower than those before treatment and also lower than those in the control group (P <0.05). The compliance of the observation group (73.08%) was higher than that before treatment (48.08%) and the control group (50.00%), the difference was statistically significant (P <0.05). Conclusion Community therapy and intensive management not only can effectively control the blood sugar in patients with type 2 diabetes, but also improve patient compliance and make it more active with the treatment.