Objective To explore the effect of community health center on the implementation of exercise guid-ance in patients with type 2 diabetes mellitus, analyze the impact of the economic cost and provide the evidence for the in-tervention of community type 2 diabetes mellitus. Methods A total of 180 patients with type 2 diabetes mellitus, who un-derwent chronic illness management intervention in the People's Hospital of Baoan District of Shenzhen City from May 2015 to January 2016, were selected and divided into the observation group and the control group according to the strati-fied random grouping method, with 90 cases in each group. Patients in the control group were given routine management in the community, and the observation group was given exercise guidance intervention on the basis of the control group. After 9 months of intervention, knowledge awareness about exercise, exercise intention and exercise frequency of the two groups were evaluated. Glycosylated hemoglobin (HbAlc), fasting and postprandial 2 hours blood glucose levels (FPG and 2 hPG) and the complications were measured, and the labor cost in the process of strengthening exercise guidance was recorded. Results After intervention, the knowledge awareness about exercise, exercise intention and exercise frequency of the ob-servation group [(92.44 ± 5.12) points, (9.27 ± 0.61) points and (5.28 ± 0.21) times/week, respectively] were significantly higher than those of the control group [(83.71±4.59) points, (8.18±0.52) points and (4.13±0.24) times/week, respectively] (P<0.05);HbAlc, FPG, 2 hPG of the observation group [(6.27±0.48)%, (6.81±1.04) mmol/L, (8.24±1.52) mmol/L, respec-tively] were significantly lower than those of the control group [(6.85±0.50)%, (7.69±1.73) mmol/L, (9.15±1.32) mmol/L, respectively] (P<0.05). The total intervention time, average intervention time per patients and frequency of using health education field in the observation group [(603.62±35.28) h, (6.71±0.366.71) h and (8.25±0.852) times, respec-tively] were significantly higher than those in the control group (P<0.05). New-onset complication rate of the observa-tion group was 3.33%(3/90) and that of the control group was 4.44%(4/90). The difference was not statistically signifi-cant (P>0.05). Conclusion Strengthening exercise guidance intervention can provide more concrete, more movement operational guidance, and give patients more remind, which can help to enhance the movement awareness and main-tain exercise habits of patients and effective control blood glucose in patients. Personnel and time costs will also in-crease accordingly.%目的：探讨社区卫生中心对2型糖尿病患者实施运动指导的干预效果，并分析对经济成本的影响，为社区2型糖尿病的干预提供依据。方法选择2015年5月至2016年1月宝安区人民医院社管中心接受常规慢病管理的2型糖尿病确诊患者180例，按分层随机分组的方法将患者分为观察组和对照组，每组各90例。对照组患者在社区进行常规降血糖管理，观察组在对照组患者常规降血糖管理基础上给予运动指导干预。干预9个月后，评估两组患者运动知识知晓率、运动意愿、运动频率；检测糖化血红蛋白(HbAlc)、空腹血糖(FPG)、餐后2 h血糖(2 hPG)水平及并发症，并记录医方实施强化运动指导过程中的劳务成本。结果观察组患者干预后运动知识知晓率、运动意愿和运动频率分别为(92.44±5.12)分、(9.27±0.61)分和(5.28±0.21)次/周，均高于对照组干预后的(83.71±4.59)分、(8.18±0.52)分和(4.13±0.24)次/周，差异均有统计学意义(P<0.05)；观察组患者干预后的HbAlc、FPG和2 hPG分别为(6.27±0.48)%、(6.81±1.04) mmol/L和(8.24±1.52) mmol/L，均低于对照组干预后的(6.85±0.50)%、(7.69±1.73) mmol/L和(9.15±1.32) mmol/L，差异均有统计学意义(P<0.05)。观察组医务人员干预总时间、人均所需医务人员时间和健教场地使用次数分别为(603.62±35.28) h、(6.71±0.36) h和(8.25±0.52)次，均高于对照组，差异均有统计学意义(P<0.05)。观察组患者新发并发症为3.33%(3/90)，对照组为4.44%(4/90)，差异无统计学意义(P>0.05)。结论通过强化运动指导干预能给患者作出更具体、更具操作性的运动指导，并给患者更多的提醒督促，有助于提高患者的运动知晓率及运动习惯的养成，有效控制患者血糖水平，医方付出的人员及时间成本也相应增加。
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