CAJ | 학술논문

[目的]观察中医体质辨识和“治未病”相结合的社区慢性病管理模式对糖尿病（diabetes mel itus，DM）患者血糖、血脂控制的效果。[方法]选取300例2型糖尿病（type 2 diabetes mel itus，T2DM）患者，随机分为干预组和对照组各150例。干预组进行体质辨识，根据体质辨识结果进行基于“治未病”理论的健康教育、饮食、运动和药物方面的糖尿病管理模式；对照组实行一般糖尿病管理模式，两组均观察一年，观察T2DM患者血糖、血脂改善情况。[结果]体质辨识和“治未病”相结合的社区慢病管理模式可以有效改善DM患者血糖、血脂等指标，可以降低气虚质、阳虚质、湿热质患者的血糖、血脂，差异有统计学意义（P<0.05）。[结论]体质辨识和“治未病”相结合的社区慢病管理模式是一种有效的DM管理模式,有利于提高DM的管理效果
[목적]관찰중의체질변식화“치미병”상결합적사구만성병관리모식대당뇨병（diabetes mel itus，DM）환자혈당、혈지공제적효과。[방법]선취300례2형당뇨병（type 2 diabetes mel itus，T2DM）환자，수궤분위간예조화대조조각150례。간예조진행체질변식，근거체질변식결과진행기우“치미병”이론적건강교육、음식、운동화약물방면적당뇨병관리모식；대조조실행일반당뇨병관리모식，량조균관찰일년，관찰T2DM환자혈당、혈지개선정황。[결과]체질변식화“치미병”상결합적사구만병관리모식가이유효개선DM환자혈당、혈지등지표，가이강저기허질、양허질、습열질환자적혈당、혈지，차이유통계학의의（P<0.05）。[결론]체질변식화“치미병”상결합적사구만병관리모식시일충유효적DM관리모식,유리우제고DM적관리효과
[Objective] To discuss the effect of the community chronic disease management mode which combines physical identification and“preventive treatment”in control of GLU and TG of diabetes. [Method] 300 patients with T2 DM were randomly divided into the control group and intervention group with 150 patients in each group. The intervention group were physical y identified, and the management mode based on theories of“preventive treatment”including health education, diet control, exercise and medication used in the intervention group according to the result of physical identification, while the general management was used in the control group. 1 year later, changes of patients ’GLU and TG were observed. [Result] The community chronic disease management mode which combines physical identification and “preventive treatment”can improve T2 DM patients’GLU and TG, and reduce the GLU and TG of patients with QiXu, YangXu, and ShiRe types of physique. [Conclusion] The community chronic disease management mode which combines physical identification and“preventive treatment”is proved to be effective, and it improves the management of diabetes in communities.