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目的探索2型糖尿病(T2DM)综合防治行之有效且患者易于掌握和接受的模式。方法以糖尿病综合防治“五驾马车”为原则,对确诊的T2DM患者采取以糖尿病健康教育为先导,强化自我管理意识,提高自我管理能力,从饮食、运动、监测、治疗等方面制定个体化的综合治疗方案,对患者进行一对一指导并建立健康档案进行跟踪随访管理,通过综合干预使糖尿病患者的各项代谢指标达到理想的控制目标。结果通过对T2DM患者为期2年的综合干预和管理,结果发现,患者的HbA1c水平显著降低(P<0.01);BMI、TC和血压得到有效控制(P分别<0.01、0.01和0.05);TG、HDL-C、LDL-C差异无统计学意义。结论糖尿病的综合干预模式可有效控制血糖,改善其机体的生理生化指标。
Objective To explore a comprehensive and effective prevention and treatment of type 2 diabetes mellitus (T2DM) which is easy for patients to grasp and accept. Methods Based on the principles of comprehensive prevention and treatment of diabetes mellitus and “five carriages”, T2DM patients diagnosed with diabetes as the guide to health education, to strengthen self-management awareness and improve self-management capacity, from the diet, exercise, monitoring, treatment, etc. to develop individual Comprehensive treatment programs, one-on-one patient guidance and the establishment of health records for follow-up management, through the comprehensive intervention in diabetic patients with various metabolic indicators to achieve the desired control objectives. Results The comprehensive intervention and management of T2DM patients for 2 years showed that the levels of HbA1c in patients with T2DM were significantly lower (P <0.01), BMI, TC and blood pressure were effectively controlled (P <0.01, 0.01 and 0.05, respectively) HDL-C, LDL-C difference was not statistically significant. Conclusion The comprehensive intervention model of diabetes can effectively control blood glucose and improve its physiological and biochemical indexes.