非增殖型糖尿病视网膜病变患者的中医辨证护理

TCM differentiation nursing in patients with non-proliferative diabetic retinopathy

目的探讨中医辨证护理在非增殖型糖尿病视网膜病变(DR)患者中的应用及对血糖、视力水平的影响。方法选择84例非增殖型DR患者作为观察对象,随机分成对照组与研究组,各42例,对照组接受传统的常规护理干预,研究组在对照组护理基础上实施中医辨证护理。对比2组患者护理前后血糖水平、视力水平及心理健康水平变化。结果 2组护理后的空腹血糖(FBG)、餐后2h血糖(2hPBG)及糖化血红蛋白(Hb A1c)等指标降低,且研究组低于对照组(P<0.05); 2组患者视力水平相比护理前有显著改善,研究组高于对照组(P<0.05);护理后2组患者心理健康指标评分低于护理前,研究组低于对照组(P<0.05)。结论中医辨证护理在非增殖型糖尿病视网膜病变患者中的应用效果显著,能控制患者的血糖处于稳定状态,提高视力水平,改善患者心理健康状态。

Objective To study application of TCM syndrome nursing in patients with nonproliferative diabetic retinopathy（DR） and its influence on blood glucose and visual acuity.Methods A total of 84 non-proliferative DR patients who were treated in our hospital were selected as study subjects,and all patients were randomly divided into control group and study group,with 42 cases in each group.The patients in the control group received traditional routine nursing intervention,and the patients in the study group were treated with TCM syndrome differentiation based on nursing of the control group.The changes of blood glucose level,visual acuity and mental health level before and after treatment were compared between the two groups.Results Fasting blood glucose（FBG）,postprandial 2 h blood glucose（2 hPBG） and glycosylated hemoglobin indexes（HbA1 c） of the two groups after intervention were lower than that of the control group,and the study group was lower than the control group（P〈0.05）.The visual acuity of the two groups was significantly improved compared with nursing before,and the study group improved more significantly than the control group（P〈0.05）.The scores of mental health indicators of the two groups were lower than nursing before,and the study group was lower than the control group（P〈0.05）.Conclusion TCM syndrome nursing for patients with non-proliferative diabetic retinopathy has significant efficacy,and it can stabilize patient＇s blood glucose,improve visual acuity and mental health of patients.