老年2型糖尿病患者应用中医药健康管理的效果分析

Effect analysis of TCM health management in elderly patients with type 2 diabetes

目的:探讨老年2型糖尿病(T2DM)患者应用中医药健康管理的效果。方法:选取290例老年T2DM患者随机分为对照组(145例)和观察组(145例),对照组患者应用传统健康管理模式管理,在对照组基础上,观察组患者应用中医药健康管理模式管理干预6个月,于干预前、干预6个月,比较两组空腹血糖(FPG)水平、生活质量;并比较两组生活方式改善情况。结果:干预后,两组患者FBG水平明显下降,且观察组下降更明显;两组患者SF-36评分明显上升,且观察组上升更明显(P<0.05);干预后,观察组患者饮食习惯改善、运动、心理调整改善情况均优于对照组(P<0.05);两组患者在吸烟行为、饮酒行为、服药依从性方面改善情况比较,差异均无统计学意义(P>0.05)。结论:中医药健康管理有助于控制老年T2DM患者空腹血糖,改善生活方式,提升生活质量。

Objective:To analyze the effect of TCM health management in elderly patients with type 2 diabetes mellitus(T2DM).Methods:A total of 290 elderly T2DM patients diagnosed were randomly divided into two groups:control group(n=145)and observation group(n=145).The control group was administered with traditional health management mode,and the observation group was administered with traditional Chinese medicine health management mode on the basis of the control group.After 6 months of intervention,the fasting blood glucose(FPG)level and quality of life of the two groups were compared before and after 6 months of intervention.Lifestyle improvements were compared between the two groups.Results:After intervention,FBG levels in both groups decreased significantly,and the decrease was more obvious in the observation group.The SF-36 score of the two groups was significantly increased,and the increase was more obvious in the observation group(P<0.05).After intervention,the improvement of dietary habits,exercise and psychological adjustment in the observation group was better than that in the control group(P<0.05).There were no significant differences in smoking behavior,drinking behavior and medication compliance between the two groups(P>0.05).Conclusion:TCM health management is helpful to control fasting blood glucose,improve life style and improve quality of life in elderly patients with T2DM.