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目的:通过对比分析中西医结合慢性病管理模式和常规社区管理模式对社区糖尿病患者血糖控制的影响,探讨中西医结合慢性病管理模式对糖尿病的防治效果。方法:随机选取社区2型糖尿病患者200例,其中包括男性患者100例,女性患者100例,年龄55-70岁,平均年龄(64.5±6.2)岁。随机分为对照组和观察组2组,每组各100例患者。对照组患者给予常规社区管理模式,观察组患者给予中西医结合慢性病管理模式,3个月后,对比观察2组患者的空腹血糖和糖化血红蛋白控制情况。结果:干预3个月后,观察组患者的空腹血糖和糖化血红蛋白均比干预之前明显改善(P<0.05),对照组患者的空腹血糖和糖化血红蛋白与干预之前无明显改善(P>0.05)。结论:中西医结合慢性病管理模式对社区糖尿病患者的血糖控制有明显的改善效果,值得在临床上推广应用。
OBJECTIVE: To compare the effects of traditional Chinese and western medicine (TCM) and chronic disease management on the glycemic control of community diabetes mellitus (DM) and to explore the preventive and therapeutic effects of DM management on DM. Methods: A total of 200 patients with type 2 diabetes mellitus were selected randomly from the community, including 100 males and 100 females, aged 55-70 years, with an average age of 64.5 ± 6.2 years. Randomly divided into control group and observation group 2 groups, each group of 100 patients. Patients in the control group were given conventional community management mode. Patients in the observation group were given chronic traditional Chinese and western medicine management mode. After 3 months, the fasting blood glucose and glycosylated hemoglobin control were compared between the two groups. Results: After 3 months of intervention, the fasting blood glucose and HbA1c of patients in observation group were significantly improved (P <0.05) compared with those before intervention. The fasting blood glucose and HbA1c of control group were not significantly improved before intervention (P> 0.05). Conclusion: The TCM-WM combined chronic disease management mode has a significant improvement on the glycemic control in patients with diabetes mellitus in community and is worth popularizing in clinic.