李显峰

[摘要] 目的 探讨实施中医“治未病”理念的社区糖尿病健康管理的作用。方法 以2014年6月—2016年3月200例自愿参加研究的社区居民，抽取糖尿病患者100例与高危人群100例，均随机分为两组，分别实施常规健康管理与“治未病”糖尿病健康管理。结果 未病研究组患者干预后血糖临界值人数比例明显低于未病对照组与治疗前，差异有统计学意义（P<0.05）。已病研究组患者干预后血糖控制达标率明显低于已病对照组与治疗前，差异有统计学意义（P<0.05）。结论 中医“治未病”理念的社区糖尿病健康管理能够有效预防糖尿病，并改善糖尿病患者的治疗效果，临床价值较高。

[关键词] 治未病；社区医疗；糖尿病健康管理

[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062（2018）02（b）-0193-02

Community Diabetes Health Management Effectiveness Evaluation Based on the Concept of “Treatment against Diseases” of Traditional Chinese Medicine

LI Xian-feng

Department of Traditional Chinese Medicine， Yushu Peoples Hospital， Yushu， Jilin Province， 130400 China

[Abstract] Objective This paper tries to explore the role of community diabetes health management in the implementation of the concept of “treatment against diseases” in traditional Chinese medicine. Methods A total of 200 volunteers who participated in the study voluntarily from June 2014 to March 2016 were selected， 100 patients with diabetes and 100 patients with high-risk， and they were randomly divided into two groups， and routine health management and “treatment against diseases” diabetes health management were performed respectively. Results The proportion of patients with critical blood glucose levels after intervention in the untreated group was significantly lower than that in the untreated control group and that before treatment，the difference was statistically significant（P<0.05）. The rate of compliance with glycemic control after intervention in the study group was significantly lower than that of the control group and that before treatment，the difference was statistically significant（P<0.05）. Conclusion The management of community diabetes mellitus with the concept of “treatment against diseases” in traditional Chinese medicine can effectively prevent diabetes and improve the therapeutic effect of diabetic patients with high clinical value.

[Key words] Treatment against diseases； Community Health； Diabetes Health Management

糖尿病是血糖水平异常升高的代谢疾病，是较为常见的内分泌系统病症。在现代社会饮食结构以及生活节奏的变化下，糖尿病的发病率不断升高[1]。加强社区居民的健康管理，通过积极预防减少糖尿病的发病率，同时对糖尿病患者的生活以及控制进行强化管理，缓解疾病的进展，是符合现代医疗观念的重要课题[2]。中医治未病是祖国传统医学的特殊医学理念，其讲究的是“未病先防”“未雨绸缪”，在概念上与预防医学有很多相似及共通之处，与社区“六位一体”功能及理念吻合。中医治未病主要包括未病先防、既病防变、瘥后防复的方式，将治未病理念应用到糖尿病预防与治疗的健康管理中，具有重要的现實意义[3]。该次研究选取2014年6月—2016年3月自愿报名的社区居民为研究对象，随机抽取200例。以中医治未病理念为核心，进行社区糖尿病的健康教育管理，取得了良好的效果，报道如下。

1 资料与方法

1.1 一般资料

将自愿报名参见中医治未病糖尿病健康管理的社区居民为研究对象，随机抽取200例，其中高危人群100例，糖尿病患者100例。……