摘要
目的:观察中医护理联合常规医护措施干预2型糖尿病(T2DM)合并高脂血症的临床疗效。方法:将116例患者随机分为对照组和观察组各58例。2组均予药物控制血糖、调脂,通过慢病管理平台对患者进行管理,给予健康教育及减轻体质量、调整膳食结构、运动方式的指导。观察组给予中医饮食指导和心理调摄指导。2组疗程均为12周,患者每周至少接受3次护理指导。治疗前后检测甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、空腹血糖(FBG)、餐后2 h血糖(P2hBG)和糖化血红蛋白(HbA1c)水平,治疗后计算LDL-C达标率,评价护理满意度和弗明汉危险评分(FRS)。结果:治疗后,观察组LDL-C达标率高于对照组(P<0.05)。2组TC、TG、LDL-C水平均治疗前下降(P<0.01),HDL-C水平均较治疗前升高(P<0.01)。观察组TC、TG、LDL-C水平均低于对照组(P<0.05),HDL-C水平高于对照组(P<0.05)。2组FBG、P2hBG、HbA1c水平均较治疗前下降(P<0.01),观察组P2hBG、HbA1c水平均低于对照组(P<0.05)。观察组心血管危险程度轻于对照组(P<0.05),护理满意度高于对照组(P<0.05)。结论:在常规药物治疗和护理的基础上加用中医饮食指导和心理调摄指导干预T2DM合并高脂血症患者,可进一步调节血脂水平,提高LDL-C达标率,并能调节糖代谢,减轻心血管危险程度,同时提高患者对护理工作的满意度。
Objective:To observe the clinical effect of Chinese medicine nursing combined with routine medical measures for type 2 diabetes mellitus(T2 DM) complicated with hyperlipidemia. Methods:A total of 116 cases of patients were randomly divided into the control group and the observation group,58 cases in each group. Both groups were given drugs to control blood glucose and lipid,and patients were managed by chronic disease management platform and given guidance including health education,body weight reduction,dietary structure adjustment and exercise mode. The observation group was given guidance of Chinese medicine diet and psychological nursing. Both groups were treated for 12 weeks,and patients received nursing guidance at least three times a week. Before and after treatment, the levels of triglyceride(TG), total cholesterol(TC),high density lipoprotein cholesterol(HDL-C),low density lipoprotein cholesterol(LDL-C),fasting blood glucose(FBG),postprandial 2 h blood glucose(P2 hBG) and glycosylated hemoglobin(HbA1 c) were detected,and the standard-reaching rates of LDL-C were counted. After treatment, the nursing satisfaction and Framingham Risk Score(FRS) were evaluated.Results:After treatment,the standard-reaching rate of LDL-C in the observation group was higher than that in the control group(P<0.05). The levels of TC, TG and LDL-C in the two groups were decreased when compared with those before treatment(P<0.01),and the levels of HDL-C were increased(P<0.01). The levels of TC,TG and LDL-C in the observation group were lower than those in the control group(P<0.05),and the level of HDL-C was higher(P<0.05). The levels of FBG,P2 hBG and HbA1 c in the two groups were decreased when compared with those before treatment(P<0.01),and the levels of P2 hBG and HbA1 c in the observation group were lower than those in the control group(P<0.05). The risk level of cardiovascular system in the observation group was lighter than that in the control group(P<0.05),and nursing satisfaction was higher(P<0.05). Conclusion:Based on rou
作者
陈丹晨
张听
余雪菲
孙慧艳
CHEN Danchen;ZHANG Ting;YU Xuefei;SUN Huiyan
出处
《新中医》
CAS
2020年第19期156-159,共4页
New Chinese Medicine
关键词
2型糖尿病
高脂血症
中医食疗
心理护理
血脂
血糖
心血管危险程度
Type 2 diabetes mellitus(T2DM)
Hyperlipidemia
Chinese medicine dietotherapy
Psychological nursing
Blood lipid
Blood glucose
Risk level of cardiovascular system
