CAJ | 학술논문

目的：探讨系统健康教育对糖耐量减低( IGT)者转归的影响；方法：采用单盲对照法，将就诊于门诊及在社区开展糖尿病健康教育筛查出的86例IGT者分为系统接受健康教育(健康教育组)和未能系统接受健康教育(对照组)。检测每组入组时以及随访2年时空腹血糖、口服葡萄糖耐量试验2h 血糖、糖化血红蛋白等指标；统计糖耐量正常转化率和糖尿病转化率，并进行自身前后比较和组间比较。结果：干预随访2年后健康教育组空腹血糖和口服葡萄糖耐量试验2h 血糖指标均明显低于对照组(P<0.01)。健康教育组糖耐量正常转化率显著高于对照组(P<0.01)，而糖尿病转化率低于对照组(P<0.05)。结论：健康教育可以增加IGT者糖耐量正常转化率，降低糖尿病转化率。
목적：탐토계통건강교육대당내량감저( IGT)자전귀적영향；방법：채용단맹대조법，장취진우문진급재사구개전당뇨병건강교육사사출적86례IGT자분위계통접수건강교육(건강교육조)화미능계통접수건강교육(대조조)。검측매조입조시이급수방2년시공복혈당、구복포도당내량시험2h 혈당、당화혈홍단백등지표；통계당내량정상전화솔화당뇨병전화솔，병진행자신전후비교화조간비교。결과：간예수방2년후건강교육조공복혈당화구복포도당내량시험2h 혈당지표균명현저우대조조(P<0.01)。건강교육조당내량정상전화솔현저고우대조조(P<0.01)，이당뇨병전화솔저우대조조(P<0.05)。결론：건강교육가이증가IGT자당내량정상전화솔，강저당뇨병전화솔。
Objective:To explore the effects of systematic healthy education on the outcomes of patients with impaired glucose tolerance( IGT) . Methods:Eighty-six cases with impaired glucose tolerance selected from the clinic clients in our hospital and some communities were divided into the systematic healthy education group( healthy education group) and non-systematic healthy education group( control group) by one-blind control method. The fasting plasma glucose,2 hours plasma glucose of oral glucose tolerance test and glycosylated hemoglobin in two group were measured at start and in 2 years after following-up. The normal conversion and diabetes conversion rates between two groups and their own were statistically analyzed. Results:The levels of the fasting plasma glucose and 2 hours plasma glucose of oral glucose tolerance test in healthy education group were significantly lower than those in control group in 2 years after following up(P <0. 01). In healthy education group,the normal conversion rate of glucose tolerance were significantly higher than that in control group(P <0. 01),while the conversion rate of diabetes was lower than that in control group(P<0. 05). Conclusions:Systematic healthy education can increase the normal conversion rate of glucose tolerance,and reduce the conversion rate of diabetes.