常规疗法联合综合饮食管理干预糖尿病肾病效果分析

An Analysis of Effect of Conventional Therapy Combined with Comprehensive Diet Management on Diabetic Nephropathy

目的:观察常规疗法联合综合饮食管理干预糖尿病肾病患者的效果。方法:将114例糖尿病肾病患者按随机数字表法分为对照组和观察组各57例。2组均接受生活方式调整,控制血糖、血压等常规干预措施和现代医学饮食管理措施,观察组加予中医饮食管理措施。2组均连续观察6个月。检测2组治疗前后的糖化血红蛋白(HbA1c)、尿微量白蛋白与肌酐的比值(ACR)、尿白蛋白排泄率(UAER),统计疗效并进行护理满意度的调查。结果:治疗6个月后,观察组临床疗效优于对照组(P <0.05)。2组HbA1c、ACR和UAER水平均较治疗前有所下降(P <0.01),观察组HbA1c、ACR和UAER水平均低于对照组(P <0.01)。观察组护理满意度优于对照组(P <0.05)。结论:以常规疗法联合综合饮食管理干预糖尿病肾病患者,可使患者的肾功能得到更为有效的改善,病情得到控制,并提高了患者对护理措施的满意度。

Objective:To observe the effect of conventional therapy combined with comprehensive diet management on diabetic nephropathy. Methods:A total of 114 cases of patients with diabetic nephropathy were divided into the control group and the observation group according to the random number table method,57 cases in each group. Patients in both groups were advised to adjust lifestyle,control blood glucose and blood pressure and receive other routine interventions and modern medical diet management;the observation group additionally received Chinese medicine diet management. Both groups were observed continuously for six months. Levels of HbA1c,Albumin/Creatinine Ratio(ACR) and Urinary Albumin Excretion Rate(UAER) were detected before and after treatment in the two groups,and the therapeutic effect and the nursing satisfaction were evaluated. Results:After six months of treatment,the clinical effect in the observation group was better than that in the control group(P < 0.05). Levels of HbA1c,ACR and UAER in the two groups were decreased when compared with those before treatment(P < 0.01),the above levels in the observation group were lower than those in the control group(P < 0.01).The nursing satisfaction of the observation group was better than that of the control group(P < 0.05). Conclusion: The application of conventional therapy combined with comprehensive diet management for patients with diabetic nephropathy,can improve the kidney function more effectively,control the disease,and improve their nursing satisfaction.