对2型糖尿病合并代谢综合征患者实施非药物干预的效果分析(1)
摘 要 目的：分析非藥物干预对糖尿病合并代谢综合征患者的生理和生化指标的影响，为社区糖尿病合并代谢综合征患者进行干预管理提供参考依据。方法：选取2018年1月在上海金山工业区社区满足代谢综合征诊断的糖尿病患者209人，随机分为干预组104人和对照组105人。干预组中有男性35人，女性69人，平均年龄(69.23±6.15)岁；对照组中有男性41人，女性64人；平均年龄(69.54±6.94)岁。对两组患者均进行随访，对干预组患者在此基础上开展运动干预和健康教育，比较干预前后两组患者的体重、血压、空腹血糖(FPG)、三酰甘油(TG)、总胆固醇(TC)、高密度脂蛋白(HDL-c)、低密度脂蛋白胆固醇(LDL-c)、血尿酸等指标的差异。结果：两组患者基线资料比较的差异无统计学意义(P>0.05)，干预后干预组患者在FPG、TC、TG、LDL-c均有明显改善(P<0.05)；对照组干预前后各指标的差异无统计学意义(P>0.05)。结论：非药物干预可以改善糖尿病合并代谢综合征患者的血糖、血脂等指标，在社区管理中，可以尝试对糖尿病合并代谢综合征患者进行非药物干预来改善患者的血糖和血脂水平。
关键词 糖尿病；代谢综合征；非药物干预；效果分析
中图分类号：R587.1 文献标志码：A 文章编号：1006-1533(2019)20-0047-04
Analysis of the effect of non-drug intervention in patients with type 2 diabetes mellitus complicated with metabolic syndrome
CHEN Lei， SHEN Peipei， YANG Zhipeng， WU Jing(Prevention and Health Care Section of Industrial Zone Community Health Service Center of Jinshan District， Shanghai 201506， China)
ABSTRACT Objective： To analyze the effect of non-drug intervention on physiological and biochemical indexes in diabetes mellitus patients complicated with metabolic syndrome， and to provide reference for intervention management of community diabetes mellitus patients with metabolic syndrome. Methods： Two hundred and nine diabetic patients who met the diagnosis of metabolic syndrome in Jinshan Industrial Zone Community of Shanghai in January 2018 were selected and randomly divided into an intervention group with 104 people and a control group with 105 people. There were 35 males and 69 females with an average age of (69.23±6.15) years old in the intervention group； there were 41 males and 64 females with an average age of (69.54±6.94) years old in the control group. The patients in both groups were followed up. The intervention group was given exercise intervention and health education on this basis. The differences in body weight， blood pressure， fasting blood glucose(FPG)， triglyceride(TG)， total cholesterol(TC)， high density lipoprotein(HDL-c)， low density lipoprotein cholesterol(LDL-c)， serum uric acid and other indicators were compared between the patients of the two groups before and after intervention. Results： There was no significant difference in baseline data between the two groups(P>0.05)， and after intervention， FPG， TC， TG and LDL-c were significantly improved in the intervention group(P<0.05)； there was no significant difference in the indexes before and after intervention in the control group(P>0.05). Conclusion： Non-drug intervention can improve blood glucose， blood lipid and other indicators in diabetes mellitus patients complicated with metabolic syndrome， and in the community management， non-drug intervention can be attempted to improve blood sugar and lipid levels in diabetes mellitus patients with metabolic syndrome., http://www.100md.com(陈磊 沈佩佩 杨智鹏 吴菁)
关键词 糖尿病；代谢综合征；非药物干预；效果分析
中图分类号：R587.1 文献标志码：A 文章编号：1006-1533(2019)20-0047-04
Analysis of the effect of non-drug intervention in patients with type 2 diabetes mellitus complicated with metabolic syndrome
CHEN Lei， SHEN Peipei， YANG Zhipeng， WU Jing(Prevention and Health Care Section of Industrial Zone Community Health Service Center of Jinshan District， Shanghai 201506， China)
ABSTRACT Objective： To analyze the effect of non-drug intervention on physiological and biochemical indexes in diabetes mellitus patients complicated with metabolic syndrome， and to provide reference for intervention management of community diabetes mellitus patients with metabolic syndrome. Methods： Two hundred and nine diabetic patients who met the diagnosis of metabolic syndrome in Jinshan Industrial Zone Community of Shanghai in January 2018 were selected and randomly divided into an intervention group with 104 people and a control group with 105 people. There were 35 males and 69 females with an average age of (69.23±6.15) years old in the intervention group； there were 41 males and 64 females with an average age of (69.54±6.94) years old in the control group. The patients in both groups were followed up. The intervention group was given exercise intervention and health education on this basis. The differences in body weight， blood pressure， fasting blood glucose(FPG)， triglyceride(TG)， total cholesterol(TC)， high density lipoprotein(HDL-c)， low density lipoprotein cholesterol(LDL-c)， serum uric acid and other indicators were compared between the patients of the two groups before and after intervention. Results： There was no significant difference in baseline data between the two groups(P>0.05)， and after intervention， FPG， TC， TG and LDL-c were significantly improved in the intervention group(P<0.05)； there was no significant difference in the indexes before and after intervention in the control group(P>0.05). Conclusion： Non-drug intervention can improve blood glucose， blood lipid and other indicators in diabetes mellitus patients complicated with metabolic syndrome， and in the community management， non-drug intervention can be attempted to improve blood sugar and lipid levels in diabetes mellitus patients with metabolic syndrome., http://www.100md.com(陈磊 沈佩佩 杨智鹏 吴菁)