心血管急重症患者血糖波动异常两种血糖控制方案的应用效果比较

Prognostic analysis of abnormal blood glucose fluctuation in patients with acute and severe cardiovascular diseases and its blood glucose management strategies

目的探讨并比较心血管急重症患者血糖波动异常两种血糖控制方案的应用效果。方法选取2017年10月至2019年10月本院收治的90例心血管急重症患者作为研究对象,运用随机数字表法分为对照组与研究组,各45例。对照组采用宽松的血糖控制方案,研究组实施严格的血糖控制方案。比较两组患者出现缺血性脑血管意外、心肌梗死、反复发作心绞痛等心血管急重症情况,并探讨不同的血糖控制方案对血糖波动的控制的效果。结果研究组缺血性脑血管意外、心肌梗死、反复发作心绞痛发生率明显低于对照组,差异具有统计学意义(P<0.05)。研究组血红蛋白、空腹血糖、餐后2 h血糖水平均明显低于对照组,差异具有统计学意义(P<0.05)。结论心血管急重症患者严格控制血糖水平,使血糖波动控制在合理范围,有利于降低心血管急重症的发生,从而改善患者的预后效果。

Objective To explore and compare the application effect of two blood sugar control schemes for patients with abnormal blood sugar fluctuation in acute and severe cardiovascular diseases.Methods 90 patients with acute and severe cardiovascular disease from October 2017 to October 2019 were selected and randomly divided into control group and study group,with 45 cases in each group.The control group adopted a relaxed blood sugar control program,while the research group implemented a strict blood sugar control program.The acute and severe cardiovascular events such as ischemic cerebrovascular accident,myocardial infarction and recurrent angina pectoris were compared between the two groups,and the control effect of different blood sugar control schemes on blood sugar fluctuation was explored.Results The incidence of ischemic cerebrovascular accident,myocardial infarction and recurrent angina pectoris in the study group was significantly lower than that in the control group(P<0.05).The levels of hemoglobin,fasting blood sugar and 2-hour postprandial blood sugar in the study group were significantly lower than those in the control group(P<0.05).Conclusion Strict control of blood glucose level and reasonable control of blood glucose fluctuation in patients with acute and severe cardiovascular diseases are conducive to reducing the occurrence of acute and severe cardiovascular diseases and improving the prognosis of patients.