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目的观察强化教育对社区糖尿病患者疾病控制指标的影响。方法选择合肥市某社区糖尿病患者200余例,随机抽取100例患者作为对照组,100例作为观察组,观察组进行强化糖尿病教育,对照组进行一般的糖尿病教育。1年后观察两组患者体重指数(BMI)、血压(BP)、空腹血糖(FPG)、餐后2小时血糖(2hPG)、糖化血红蛋白(HbA1C)、胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)等的变化情况。结果教育后观察组的FPG、2hPG、HbA1C、TG、TC、LDL均明显低于教育前和对照组(P<0.05),但BP、HDL、BMI无显著差异(P>0.05)。观察组在强化教育6个月、9个月及1年的HbA1C均较教育前有明显改善(P<0.05)。结论强化糖尿病教育是糖尿病治疗的重要组成部分,可以有效改善糖脂代谢。
Objective To observe the effect of intensive education on disease control index in community diabetic patients. Methods 200 patients with diabetes in a community of Hefei were enrolled. 100 patients were randomly selected as the control group and 100 as the observation group. The observation group was given intensive diabetes education and the control group was given general diabetes education. One year later, BMI, BP, FPG, 2hPG, HbA1C, TC, , High density lipoprotein (HDL-C), low density lipoprotein (LDL-C) and so on. Results The levels of FPG, 2hPG, HbA1C, TG, TC and LDL in the observation group were significantly lower than those in the pre-education and control groups (P <0.05), but there was no significant difference in BP, HDL and BMI between the two groups. In the observation group, HbA1C at 6 months, 9 months and 1 year after intensive education was significantly improved compared with that before education (P <0.05). Conclusion Intensive diabetes education is an important part of diabetes treatment, which can effectively improve glucose and lipid metabolism.