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目的 :对糖尿病社区综合防治效果进行评价。方法 :对90例糖尿病患者 ,进行糖尿病防治知识测试 ,生活方式及行为改变比较 ,检查身高、体重、腰围、臀围、血压、血糖、血脂、体征及疗效比较。结果 :综合管理3个月 ,83例患者综合防治前后自身对照糖尿病防治知识及自我保健能力方面平均提高89 16 % ,纠正不良生活方式和不良生活习惯79 32 % ,糖尿病自我检测率提高71 08 % ,体重平均下降1 80kg ,腰围平均下降1 77cm ,臀围平均平均下降1 04cm ,身体质量指数 (BMI)平均下降0 68 ,收缩压平均下降11 19mmHg ,舒张压评价下降5 61mmHg ,空腹血糖平均下降3 326mmol/L ,餐后2小时血糖平均下降3 5368mmol/L ,各项指标治疗前后比较P值均<0 01 ,差异有非常显著意义。患者医药费用平均每人减少97 05元。结论 :社区卫生服务综合防治糖尿病 ,比单纯药物治疗更能提高疗效 ,提高患者的生活质量和降低医药费用
Objective: To evaluate the effect of comprehensive prevention and treatment of diabetes community. Methods: Ninety diabetic patients were tested for their knowledge of diabetes prevention and control, lifestyle changes and behavior changes. Height, weight, waist circumference, hip circumference, blood pressure, blood glucose, blood lipids, signs and curative effects were compared. Results: After three months of comprehensive management, 83 patients achieved an average increase of 89.16% in self-control diabetes knowledge and self-care ability before and after comprehensive prevention and treatment, corrected 79 32% of unhealthy lifestyles and unhealthy habits, and the self-detection rate of diabetes increased by 71 08% , An average weight loss of 1 80kg, an average decrease of waist circumference of 1 77cm, an average decrease of hip circumference of 104cm, an average body mass index (BMI) decreased by 68, systolic blood pressure decreased by 11 19mmHg, diastolic blood pressure evaluation decreased by 5 61mmHg, 3 326mmol / L, 2 hours postprandial blood glucose decreased 3 5368mmol / L, all indicators before and after treatment were P <0.01, the difference is very significant. The average cost for medical treatment of patients decreased by 97.05 yuan per person. Conclusion: The comprehensive prevention and treatment of diabetes by community health service can improve the curative effect, improve the quality of life of patients and reduce the medical cost more than the simple drug treatment