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目的观察社区综合管理模式对2型糖尿病患者的防治效果。方法选取徐州市云龙区某社区已确诊的84例2型糖尿病患者作为研究对象,随机将其分为对照组和研究组各42例,2组分别进行常规药物治疗和社区综合管理干预。结果社区综合管理前2组患者的遵医行为和FPG、2h PG、Hb A1C及RMI指标差异无统计学意义(P>0.05);而管理后研究组上述指标均明显低于管理前(P<0.05);且经管理后研究组的遵医行为均明显高于管理前及对照组(P<0.05)。结论社区综合管理干预是2型糖尿病防治中的有效手段。
Objective To observe the effect of community integrated management on type 2 diabetes patients. Methods Eighty-four patients with type 2 diabetes mellitus diagnosed in a community in Yunlong District of Xuzhou City were selected as study subjects. They were randomly divided into control group and study group, with 42 patients in each group. The two groups were treated with conventional drug therapy and community integrated management respectively. Results There was no significant difference in compliance behavior, FPG, 2h PG, Hb A1C and RMI between the two groups (P> 0.05). However, the above indexes in the study group were significantly lower than those before the management (P < 0.05). After the management, the compliance of the study group was significantly higher than that before the management and the control group (P <0.05). Conclusion Comprehensive community management intervention is an effective means of prevention and treatment of type 2 diabetes.