CAJ | 학술논문

目的观察多学科团队强化干预对糖尿病高危人群代谢指标的影响.方法选择健康体检且自愿参与本研究的糖尿病高危者88例,按随机数字表法分为干预组和对照组.干预组在常规健康教育的基础上,由多学科团队给予强化知识培训、强化进行自我监测、强化信息反馈、加强追踪随访.干预1年后,比较两组研究对象在血糖、血脂、血压、体重、脂肪、肌肉、蛋白、骨总量等方面的变化.结果干预1年后,两组研究对象除HDL差异无统计学意义外,干预组其他指标如体重、BMI、脂肪含量、血压、空腹血糖、糖化血红蛋白、血脂总胆固醇、甘油三酯、低密度脂蛋白均低于对照组(P＜0.05)；干预组TC、TG、血糖、BMI、血压达标率较对照组高(P＜0.05).结论多学科团队强化干预对糖尿病高危人群代谢指标有显著的影响,能帮助干预对象建立健康的生活模式,从而减少糖尿病的风险因素.
목적 관찰다학과단대강화간예대당뇨병고위인군대사지표적영향.방법 선택건강체검차자원삼여본연구적당뇨병고위자88례,안수궤수자표법분위간예조화대조조.간예조재상규건강교육적기출상,유다학과단대급여강화지식배훈、강화진행자아감측、강화신식반궤、가강추종수방.간예1년후,비교량조연구대상재혈당、혈지、혈압、체중、지방、기육、단백、골총량등방면적변화.결과 간예1년후,량조연구대상제HDL차이무통계학의의외,간예조기타지표여체중、BMI、지방함량、혈압、공복혈당、당화혈홍단백、혈지총담고순、감유삼지、저밀도지단백균저우대조조(P＜0.05)；간예조TC、TG、혈당、BMI、혈압체표솔교대조조고(P＜0.05).결론 다학과단대강화간예대당뇨병고위인군대사지표유현저적영향,능방조간예대상건립건강적생활모식,종이감소당뇨병적풍험인소.
Objective To observe the effect of the multidisciplinary team intensive intervention on metabolic indexes of diabetes high-risk group.Methods 88 diabetic patients at high risk for health examination and voluntarily participated in the study,were randomly divided into intervention group and control group.The two groups all took routine health education,intervention group was given by a multidisciplinary team strengthened knowledge training,self-monitoring,information feedback and follow-up.1 year after the intervention,we compared two groups in glucose,lipid,blood pressure,body weight,fat,muscle,bone,protein and total variation.Results After 1 year of intervention,except for HDL without statistical significance,other indicators such as body weight,BMI,fat,blood pressure,fasting blood glucose,glycosylated hemoglobin,blood total cholesterol,triglyceride and low density lipoprotein in intervention group were lower than those of the control group (P＜0.05); in intervention group,the TC,TG,glucose,BMI blood pressure control rate,were 25％,24.8％ and 22.4％ respectively,higher than those in the control group(P＜0.05).Conclusion The multidisciplinary team intensive intervention has significant effect on the metabolic indexes of the diabetes high-risk group.It can help the intervention objects establish a healthy lifestyle,so as to reduce their risk factors for diabetes.