中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
11期
40-42
,共3页
汪友斌%孔春辉%郁东明%毛伟娟%乐嘉宜
汪友斌%孔春輝%鬱東明%毛偉娟%樂嘉宜
왕우빈%공춘휘%욱동명%모위연%악가의
糖尿病肾病%社区%早期干预
糖尿病腎病%社區%早期榦預
당뇨병신병%사구%조기간예
Diabetic nephropathy%Community%Early intervention
目的：评价目前社区卫生服务中心对早期糖尿病肾病进行干预的有效性。方法在本辖区内2个居委的2型糖尿病管理人群中，采用尿微量白蛋白/尿肌酐(UAlb/UCr)值筛查出48例病情稳定的早期糖尿病肾病患者，将患者随机分为干预组24例，对照组24例。干预组在社区慢病管理基础上，采用控制血糖、血脂及血压的综合干预措施；对照组只进行慢病管理。观察患者的UAlb/UCr值、空腹血糖(FBG)、HbA1c、血脂、血压等相关指标的变化情况。结果干预后，干预组的各相关指标均达到控制目标，UAlb/UCr值为(8.33±3.42)mg/mmol，FBG为(6.04±1.83)mmol/L，HbA1c为(6.42±0.38)%，TC为(4.39±0.57)mmol/L，TG、LDL-C、血压等指标与干预前比较，差异有统计学意义(P<0.05)，且干预组干预后的各检测指标与对照组比较，差异有统计学意义(P<0.05)。干预后，对照组的UAlb/UCr值、TG水平有所上升，与干预前比较，差异有统计学意义(P<0.05)。结论以社区卫生资源为基础的干预措施对早期糖尿病肾病进行干预具有重要意义。
目的：評價目前社區衛生服務中心對早期糖尿病腎病進行榦預的有效性。方法在本轄區內2箇居委的2型糖尿病管理人群中，採用尿微量白蛋白/尿肌酐(UAlb/UCr)值篩查齣48例病情穩定的早期糖尿病腎病患者，將患者隨機分為榦預組24例，對照組24例。榦預組在社區慢病管理基礎上，採用控製血糖、血脂及血壓的綜閤榦預措施；對照組隻進行慢病管理。觀察患者的UAlb/UCr值、空腹血糖(FBG)、HbA1c、血脂、血壓等相關指標的變化情況。結果榦預後，榦預組的各相關指標均達到控製目標，UAlb/UCr值為(8.33±3.42)mg/mmol，FBG為(6.04±1.83)mmol/L，HbA1c為(6.42±0.38)%，TC為(4.39±0.57)mmol/L，TG、LDL-C、血壓等指標與榦預前比較，差異有統計學意義(P<0.05)，且榦預組榦預後的各檢測指標與對照組比較，差異有統計學意義(P<0.05)。榦預後，對照組的UAlb/UCr值、TG水平有所上升，與榦預前比較，差異有統計學意義(P<0.05)。結論以社區衛生資源為基礎的榦預措施對早期糖尿病腎病進行榦預具有重要意義。
목적：평개목전사구위생복무중심대조기당뇨병신병진행간예적유효성。방법재본할구내2개거위적2형당뇨병관리인군중，채용뇨미량백단백/뇨기항(UAlb/UCr)치사사출48례병정은정적조기당뇨병신병환자，장환자수궤분위간예조24례，대조조24례。간예조재사구만병관리기출상，채용공제혈당、혈지급혈압적종합간예조시；대조조지진행만병관리。관찰환자적UAlb/UCr치、공복혈당(FBG)、HbA1c、혈지、혈압등상관지표적변화정황。결과간예후，간예조적각상관지표균체도공제목표，UAlb/UCr치위(8.33±3.42)mg/mmol，FBG위(6.04±1.83)mmol/L，HbA1c위(6.42±0.38)%，TC위(4.39±0.57)mmol/L，TG、LDL-C、혈압등지표여간예전비교，차이유통계학의의(P<0.05)，차간예조간예후적각검측지표여대조조비교，차이유통계학의의(P<0.05)。간예후，대조조적UAlb/UCr치、TG수평유소상승，여간예전비교，차이유통계학의의(P<0.05)。결론이사구위생자원위기출적간예조시대조기당뇨병신병진행간예구유중요의의。
Objective To evaluate the effectiveness of community health service center on intervening diabetic nephropathy (DN) in early stageat present. Methods Among the type 2 diabetes management crowd of by two residents’committees in this area,48 stable patients with diabetic nephropathy in early stage were screened using urinary albu-min/urinary creatinine (UAlb/UCr) value,and they were evenly divided into intervention group and control group in ran-dom.In the intervention group,on the basis of chronic disease management,comprehensive intervention measures like blood glucose control,blood lipid control,and blood pressure control were applied. In the control group,only chronic disease management was used.Change of UAlb/UCr value,fasting blood glucose (FBG),HbA1c,blood lipid,blood pressure and other related indexes were observed. Results After intrevwntion,the related indexes of intervention group reached control goal,UAlb/UCr value was (8.33±3.42) mg/mmol,FBGwas (6.04±1.83) mmol/L,HbA1c was (6.42±0.38)%,TC was (4.39±0.57) mmol/L,above-mentioned indexes and TG,LDL-C,blood pressure and other indicators were compared with before intervention,and there was a statistical difference (P<0.05).After intervention,these indexes in the intervention group also displayed statistical difference compared with those in control group (P<0.05).In control group,UAlb/UCrval-ue and TG level were improved and the two indexes were compared with before intervention,and there was a statistical difference (P<0.05). Conclusion Intervening measures based on community health resources have important signifi-cance in intervention of DN in early stage.
