基层HCH营养管理模式对早期糖尿病肾病转归的影响

Effect of Primary HCH Nutrition Management Model on Outcome of Early Diabetic Nephropathy

目的:探讨基层HCH营养管理模式对早期糖尿病肾病转归的影响。方法:选取2017年1月-2018年1月于本院首次确诊早期糖尿病肾病120例患者,所有患者均给予基层HCH营养管理模式干预。根据随机数字表法分为严格随访组与非严格随访组,每组60例。严格随访组给予每3个月进行一次住院或门诊随访干预,非严格随访组给予不定期随访。随访干预2年,比较两组干预前后肾功能、血糖水平及干预效果。结果:干预后,严格随访组糖化血红蛋白与空腹血糖均低于非严格随访组(P<0.05)。干预后,严格随访组血肌酐(Scr)、血尿素氮(BUN)及尿微量白蛋白排泄率(UAER)均低于非严格随访组(P<0.05)。严格随访组干预总有效率高于非严格随访组(P<0.05)。结论:基层HCH营养管理模式可有效控制糖尿病肾病患者血糖水平,改善肾功能,保证患者转归良好,值得在临床广泛推广应用。

Objective:To explore the effect of primary HCH nutrition management model on the outcome of early diabetic nephropathy.Method:A total of 120 patients with early diabetic nephropathy diagnosed for the first time in our hospital from January 2017 to January 2018 were selected.All patients were given primary HCH nutritional management mode intervention.According to the random number table method,they were divided into strict follow-up group and non-strict follow-up group,60 patients in each group.The strict follow-up group was given inpatient or outpatient follow-up intervention every 3 months,while the non-strict follow-up group was given irregular follow-up.The renal function,blood glucose level before and after intervention and intervention effect of the two groups were compared.Result:After intervention,glycosylated hemoglobin and fasting glucose in the strict follow-up group were lower than those in the non-strict follow-up group(P<0.05).After intervention,serum creatinine(Scr),blood urea nitrogen(BUN)and urinary albumin excretion rate(UAER)in the strict follow-up group were lower than those in the non-strict follow-up group(P<0.05).The total effective rate of intervention in the strict follow-up group was higher than that in the non-strict follow-up group(P<0.05).Conclusion:The primary HCH nutrition management mode can effectively control the blood glucose level of diabetic nephropathy patients,improve renal function,and ensure good outcomes of patients,which is worthy of widespread clinical application.