中医护理联合常规医护措施干预2 型糖尿病合并高脂血症临床研究
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R587.1

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Clinical Study on Chinese Medicine Nursing Combined with Routine Medical Mea⁃ sures for Type 2 Diabetes Mellitus Complicated with Hyperlipidemia
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    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。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Chinese medicine nursing combined with routine medical measures for type 2 diabetes mellitus(T2DM) 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(P2hBG) and glycosylated hemoglobin(HbA1c) 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, P2hBG and HbA1c in the two groups were decreased when compared with those before treatment(P<0.01),and the levels of P2hBG and HbA1c 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 routine medicine treatment and nursing,the additional application of guidance of Chinese medicine diet and psychological nursing for patients with T2DM complicated with hyperlipidemia can further regulate the blood lipid level and glucose metabolism,relieve risk level of cardiovascular system and improve the standard-reaching rate of LDL-C and nursing satisfaction.

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陈丹晨,张听,余雪菲,孙慧艳.中医护理联合常规医护措施干预2 型糖尿病合并高脂血症临床研究[J].新中医,2020,52(19):156-159

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  • 在线发布日期: 2020-10-12
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