体检人群中空腹血糖受损发生水平及健康教育干预效果评价

摘要

目的:分析健康体检人群中空腹血糖受损(IFG)的发生情况,评价以健康教育为主的干预措施对IFG体检人群的干预效果.方法:根据随机对照原则将2013年5月至2015年5月在郑州大学第一附属医院体检中心体检发现的1009例IFG患者分为干预组(n=523,进行健康教育干预)和对照组(n=486,进行常规管理),分析两组研究对象干预后生活行为方式、生化检查资料变化及转归情况.结果:体检人群IFG发生率为28.12%(1009/3588).干预组糖尿病发病率(3.1%)低于对照组(13.6%);干预组维持IFG状态比例(56.94%)低于对照组(70.36%);干预组空腹血糖恢复正常比例(39.96%)高于对照组(16.04%).结论:健康干预可有效改善体检人群生活行为方式和相关体检指标,明显降低体检人群IFG转为糖尿病的发生率.%Aim:To analyze the epidemiological characteristics of physical examination people with impaired fasting glucose(IFG), and evaluate the effect of health education interventions for physical examination people with IFG .Meth-ods:A total of 1009 individuals with IFG found in the First Affiliated Hospital of Zhengzhou University Physical Examina-tion Center from May 2013 to May 2015 were chosen for the study .They were allocated into intervention group ( n=523 ) and control group(n=486) randomly.Behaviors, biochemical data and outcome of two groups before and after intervention were retrospectively analyzed .Results: Generally , the incidence of IFG in physical examination people was 28 .12%(1009/3588).The incidence of diabetes in the intervention group was 3.1%versus 13.6%in the control group;the per-centage of subjects maintaining IFG in the intervention group was 56.94% versus 70.36% in the control group; the per-centage of subjects restoring normoglycemia in the intervention group was 39.96% versus 16.04 % in the control group . Differences in the above outcome between the two groups were significant (P<0.05).Conclusion:Health education in-terventions can effectively improve behaviors and examination indexes , significantly reduce the incidence of IFG developing into diabetes in physical examination people .