糖尿病性骨质疏松症病人血糖和骨密度变化及护理对策

Nursing and Changes of Diabetes Patients in Bone Mineral Density and Fasting Plasma Glucose Level

目的观察糖尿病性骨质疏松症患者空服血糖(FPG)、糖化血红蛋白(HbA1c)、体重指数(BMI)和骨密度变化,并探讨护理对策。方法85例糖尿病患者使用双能X线骨密度仪测量受试者的腰椎(L2～L4),股骨上端(Neck、Ward三角、Troch)骨密度,并检测空腹血糖(FPG)、糖化血红蛋白(HbA1c)、体重指数(BMI)。结果男性糖尿病组L2～L4,Ward三角区BMD与对照组比较无显著性差异(P>0.05);股骨颈、大转子区BMD低于男性对照组(P<0.01);女性糖尿病组L2～L4,股骨颈、Ward三角,大转子区BMD均低于女性对照组(P<0.01)。结论糖尿病可致骨密度降低,除积极治疗外,采取有效的护理对策,对防止各种并发症具有重要作用。

Objective To investigate the changes of bone mineral density (BMD), fasting plasma glucose level (FPG), glycosylated hemoglobin level (HbA1c), and body mass index (BMI) in the control group and diabetic patients and to probe the nursing measures. Methods A total of 85 with type 2 diabetes mellitus and 40 cases matched controls were evaluated in the study. BMD of the lumbar spines and the hip were measured by dual energy X-ray absorptiometry (DXA). Results BMD was significantly lower at the measured sites with type 2 diabetes than that in the controls. Conclusions Diabetes patients had significant loss in BMD. Effective nursing method is very important in preventing and controlling diabetic complications.