心理护理对中药治疗糖尿病患者血尿酸的影响

Clinical effect of psychological nursing combined with traditional Chinese medicine in treating blood uric acid level in diabetic patients

目的探讨心理护理结合中药治疗对降低糖尿病患者血尿酸(UA)水平的临床应用效果。方法回顾性分析2015年1月至2016年12月内蒙古民族大学附属医院诊治的94例糖尿病患者,按照不同的治疗方法分为观察组和对照组,每组各47例。对照组患者采用常规护理,应用西药进行治疗;观察组患者采用心理护理,应用中药进行治疗。观察、记录2组患者的治疗效果和UA水平变化。结果治疗后2组患者的空腹血糖和餐后2 h血糖均低于治疗前,差异有统计学意义(P<0.05);治疗后观察组患者空腹血糖低于对照组,差异有统计学意义(P<0.05);治疗后观察组患者的尿素氮(BUN)、UA、肌酐(Cr)水平与治疗前比较,均明显降低,差异有统计学意义(P<0.05);治疗前后对照组患者的BUN、UA、Cr水平比较,差异无统计学意义(P>0.05);治疗后2组患者的各项指标水平比较,差异有统计学意义(P<0.05);治疗后观察组患者的治疗总有效率(89.4%)高于对照组(72.3%),差异有统计学意义(P<0.05)。结论心理护理联合中药治疗方案可以有效地降低糖尿病患者的UA水平,提高治疗效果,值得临床推广应用。

Objective To explore the clinical effect of psychological nursing combined with traditional Chinese medicine in reducing the level of serum uric acid（UA） in patients with diabetes mellitus. Methods According to different treatment methods, 94 patients with diabetes mellitus treated in the affiliated hospital of Inner Mongolia university for nationalities from January 2015 to December 2016 were divided into observation group and control group, there were 47 patients in each group.. The patients of control group were treated with routine care and western medicine, and the patients of observation group were treated with psychological therapy and traditional Chinese medicine. The curative effect and the level of UA were observed in the two groups. Results The fasting blood glucose and the 2 h postprandial blood glucose in the two groups after treatment were lower than those before treatment, the difference was statistically significant（P〈0.05）. After treatment, the fasting blood glucose in observation group was lower than that in control group, the difference was statistically significant（P〈0.05）. The levels of blood urea nitrogen（BUN）, UA and creatinine（Cr） in observation group after treatment were significantly lower than those before treatment, the difference was statistically significant（P〈0.05）. In control group, the levels of BUN, UA and Cr after treatment were compared with those before treatment and the difference was no statistically significant（P〉0.05）. After treatment, the level of each index were compared between two groups and the difference was statistically significant（P〈0.05）. The total effective rate（89.4%） in observation group was higher than that（72.3%） in control group, the difference was statistically significant（P〈0.05）. Conclusions The combination of psychological nursing and traditional Chinese medicine can effectively reduce the level of serum uric acid in patients with diabetes mellitus and improve the therapeutic effect. It is worthy to be popularized in clinical application.