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目的了解甘肃省陇西县高血压、糖尿病人群防治现状,探讨慢性非传染性疾病(简称慢性病)管理干预模式,为贫困地区人群健康水平改善提供科学依据。方法按照随机原则将高血压、糖尿病人群分成干预组和对照组,通过建立系统的健康档案、集中管理、开展健康教育、行为干预、规范化治疗与随访管理等针对性的综合干预措施。结果干预组与对照组比较,吸烟、饮酒率明显下降,盐摄入量明显降低,高血压、糖尿病的控制率明显升高,经χ2检验差异均有统计学意义﹙均P<0.01﹚。同时干预组人群膳食构成与营养素摄入水平也有一定改善。结论采取适合贫困地区的慢性病健康管理综合干预模式对高血压、糖尿病的防治有非常重要的作用。
Objective To understand the status of prevention and treatment of hypertension and diabetes in Longxi County of Gansu Province and to explore the mode of management intervention of chronic non-communicable diseases (referred to as chronic diseases) to provide a scientific basis for improving the health of people in impoverished areas. Methods According to the principle of randomness, hypertension and diabetes were divided into intervention group and control group. Through setting up systematic health records and centralized management, targeted interventions such as health education, behavior intervention, standardized treatment and follow-up management were carried out. Results Compared with the control group, the smoking and drinking rates decreased obviously, the salt intake significantly decreased, and the control rate of hypertension and diabetes increased significantly. There was significant difference between the two groups (all P <0.01). At the same time, the dietary composition and nutrient intake of the intervention group also improved to a certain extent. Conclusion It is very important for prevention and treatment of hypertension and diabetes mellitus to take the integrated intervention mode of chronic health management in poor areas.