老年2型糖尿病患者并发心血管病的临床分析

Clinical Analysis of Cardiovascular Disease in Elderly Patients with Type 2 Diabetes

目的探究老年2型糖尿患者并发心血管病的临床最优治疗方法及相应治疗效果。方法 2015年9月-2018年9月期间在该院住院治疗的2型糖尿病并发心血管病患者214例作为实验研究对象,按照随机分配方法将实验患者分为分析组(107例)和对照组(107例),分析组患者采用规范化药物治疗+饮食指导+运动疗法+家庭延续治疗,对照组患者采用规范化药物治疗+饮食指导+运动疗法,对比两组治疗方法的临床疗效。结果分析组、对照组患者治疗总有效率分别为87.85%、66.36%,分析组结果优于对照组,差异有统计学意义(χ^2=14.952,P<0.05);分析组患者治疗后血糖及血脂各项水平均低于对照组,差异有统计学意义(P<0.05);分析组、对照组患者治疗总满意率分别为93.46%、73.83%,分析组治疗总满意率高于对照组,差异有统计学意义(χ^2=15.318,P<0.05)。结论患者经规范化药物治疗+饮食指导+运动疗法+家庭延续治疗等综合治疗后能明显提高临床治疗效果,稳定患者血糖、血脂水平,提高患者出院后的治疗依从率。

Objective To explore the best clinical treatment methods and corresponding treatment effects for elderly patients with type 2 diabetes complicated by cardiovascular disease.Methods 214 patients with type 2 diabetes complicated with cardiovas-cular disease who were hospitalized in the hospital from September 2015 to September 2018 were used as experimental re-search objects.According to the random allocation method,the experimental patients were divided into analysis group(107 cases)and control group(107 cases),the patients in the analysis group were treated with standardized medication+dietary guidance+exercise therapy+family continuation therapy,and the patients in the control group were treated with standardized medication+dietary guidance+exercise therapy.The clinical efficacy of the two treatment methods was compared.Results The total effective rates of treatment in the analysis group and control group were 87.85%and 66.36%,respectively.The results of the analysis group were better than those of the control group,the difference was statistically significant(χ^2=14.952,P<0.05);the blood glucose and blood lipid levels of the analysis group after treatment were lower than control group,the difference was statistically significant(P<0.05);the total satisfaction rate of treatment in the analysis group and control group were93.46%and 73.83%,respectively.The total satisfaction rate of treatment in the analysis group was higher than that of the con-trol group,the difference was statistically significant(χ^2=15.318,P<0.05).Conclusion The comprehensive treatment of standardized drug treatment+dietary guidance+exercise therapy+family continuation therapy can significantly improve the clinical treatment effect,stabilize the patient’s blood glucose and blood lipid levels,and improve the treatment compliance rate after discharge.