梁瑞霞 陈康梅 招彩玲

【摘要】 目的：探讨基于网络的生活方式干预在改善糖尿病前期个体的饮食、运动行为中的作用。方法：选取2018年1-8月笔者所在医院收治的糖尿病前期患者150例，随机分为观察组和对照组，各75例，对照组予以常规的社区健康管理干预，观察组予以基于网络的生活方式干预，干预期均为6个月。比较两组干预后患者问卷调查（医嘱依从性、饮食控制、运动锻炼）评分，以及空腹血糖（FBG）、总胆固醇（TC）、甘油三酯（TG）、餐后2 h血糖（2 h PBG）。结果：干预后，两组患者调查问卷三项内容评分均较干预前升高，各项客观评估指标均较干预前降低，差异均有统计学意义（P

【关键词】 糖尿病前期; 生活方式; 网络; 血糖

doi：10.14033/j.cnki.cfmr.2019.15.078 文献标识码 B 文章编号 1674-6805（2019）15-0-03

【Abstract】 Objective：To explore the role of network-based lifestyle intervention in improving diet and exercise behavior of prediabetic individuals.Method：150 prediabetic patients in the authors hospital from January to August 2018 were randomly divided into the observation group and the control group，75 cases in each group.The control group was given routine community health management intervention，while the observation group was given network-based lifestyle intervention.The intervention period was 6 months.The scores of questionnaire survey（compliance with doctors advice，diet control，exercise） and fasting blood glucose（FBG），total cholesterol（TC），triglyceride（TG） and 2 h postprandial blood glucose（2 h PBG） were compared between the two groups.Result：After intervention，the scores of the three items in the questionnaires in the two groups were higher than before the intervention，and the objective evaluation indexes were lower than before intervention，the differences were statistically significant（P<0.05）.After intervention，the scores of the three items in the questionnaires in the observation group were increased more significantly and the objective evaluation indexes were decreased more significantly than those in the control group（P<0.05）.Conclusion：Network-based lifestyle intervention can improve the compliance of prediabetic patients with doctors advice，improve their diet and exercise behavior，effectively reduce blood sugar and blood fat levels，and its effect is accurate，convenient and fast，which is worthy of clinical promotion.

【Key words】 Prediabetes; Lifestyle; Network; Blood sugar

First-authors address：The Fifth Peoples Hospital of Nanhai District，Foshan City，Foshan 528230，China

糖尿病前期通常指機体血糖调节受损导致血糖升高，但未达到糖尿病诊断标准，其主要包括糖耐量减低和/或空腹血糖受损[1]。流行病学显示，糖尿病前期患者占我国总人口比率高至15.5%，采取何种有效的方法控制糖尿病前期血糖水平、防止其进展为糖尿病成为目前内分泌科及社区医生工作的重点和难点[2]。本研究采用基于网络的生活方式干预糖尿病前期患者，以期改善其饮食、运动行为，从而达到降低血糖，逆转糖尿病前期状态的目的，现将结果报道如下。

1 资料与方法

1.1 一般资料

选取2018年1-8月笔者所在医院收治的糖尿病前期患者150例为研究对象。纳入标准：（1）符合糖尿病前期诊断标准;（2）家庭或工作地点有手机或计算机并有条件使用网络者。……