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Diabetes Care：社区干预降糖尿病患者的HbA1c不显著

2014-02-11 高晓方 译 医学论坛网

社区干预糖尿病患者HbA1c
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美国一项研究表明，社区卫生工作者(CHW)干预并未显著降低糖尿病患者的糖化血红蛋白(HbA1c)水平，并且增加干预精确度可能实现更好的血糖控制。论文于2月4日在线发表于《糖尿病护理》(Diabetes Care)。【原文下载】 此项研究共纳入360例近期HbA1c≥8%、年龄介于35～70岁的西班牙裔受试者，并随机给予12个月的CHW干预(181例)或常规治疗(179例)。主要转归为12个月时

美国一项研究表明，社区卫生工作者(CHW)干预并未显著降低糖尿病患者的糖化血红蛋白(HbA1c)水平，并且增加干预精确度可能实现更好的血糖控制。论文于2月4日在线发表于《糖尿病护理》(Diabetes Care)。【原文下载】

此项研究共纳入360例近期HbA1c≥8%、年龄介于35～70岁的西班牙裔受试者，并随机给予12个月的CHW干预(181例)或常规治疗(179例)。主要转归为12个月时 HbA1c，次要转归为收缩压、舒张压和低密度脂蛋白胆固醇(LDL-C)水平。

结果显示，与常规治疗组相比，干预组的HbA1c水平改善不显著(P=0.131)，收缩压和LDL-C出现非显著性升高。干预精确度与HbA1c更大程度降低具有临界相关性(P=0.054)。独立评估显示，电话交流与HbA1c更大程度降低具有相关性(P=0.04)。

原始出处：

Palmas W, Findley SE, Mejia M, Batista M, Teresi J, Kong J, Silver S, Fleck EM, Luchsinger JA, Carrasquillo O.Results of the Northern Manhattan Diabetes Community Outreach Project: A Randomized Trial Studying a Community Health Worker Intervention to Improve Diabetes Care in Hispanic Adults.Diabetes Care. 2014 Feb 4. 【原文下载】

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    2014-11-07 Smile2680

    #HbA#

    0

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    2014-06-15 木头人513

    #Diabetes#

    0

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    2015-01-15 智智灵药

    #BET#

    0

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    2014-11-22 ms9608593228839890

    #DIA#

    0

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    2014-02-13 12498e67m28暂无昵称

    #社区#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=2015890, encodeId=0c7020158907d, content=<a href='/topic/show?id=33108494c1' target=_blank style='color:#2F92EE;'>#HbA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8494, encryptionId=33108494c1, topicName=HbA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c48a270, createdName=Smile2680, createdTime=Fri Nov 07 10:38:00 CST 2014, time=2014-11-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1901178, encodeId=d2a019011e8f4, content=<a href='/topic/show?id=c097591ed5' target=_blank style='color:#2F92EE;'>#Diabetes#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5917, encryptionId=c097591ed5, topicName=Diabetes)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0045169, createdName=木头人513, createdTime=Sun Jun 15 09:38:00 CST 2014, time=2014-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1759402, encodeId=0fe31e5940237, content=<a href='/topic/show?id=9bea33520d' target=_blank style='color:#2F92EE;'>#BET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3352, encryptionId=9bea33520d, topicName=BET)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智智灵药, createdTime=Thu Jan 15 12:38:00 CST 2015, time=2015-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1636810, encodeId=9537163681076, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Sat Nov 22 20:38:00 CST 2014, time=2014-11-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1395598, encodeId=ed50139559840, content=<a href='/topic/show?id=7a89e4036eb' target=_blank style='color:#2F92EE;'>#社区#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74036, encryptionId=7a89e4036eb, topicName=社区)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96f62500201, createdName=12498e67m28暂无昵称, createdTime=Thu Feb 13 02:38:00 CST 2014, time=2014-02-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1473767, encodeId=3e8614e3767aa, content=<a href='/topic/show?id=935fe6718e3' target=_blank style='color:#2F92EE;'>#糖尿病患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76718, encryptionId=935fe6718e3, topicName=糖尿病患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a38f7243741, createdName=xue8604, createdTime=Thu Feb 13 02:38:00 CST 2014, time=2014-02-13, status=1, ipAttribution=)]
    2014-02-13 xue8604

    #糖尿病患者#

    0