中西医结合护理对老年糖尿病患者血糖控制效果的影响

Influence of integrated traditional Chinese and western medicine nursing on blood glucose control effect in elderly diabetes mellitus patients

目的探讨中西医结合护理对老年糖尿病(DM)患者血糖控制效果的影响。方法选取2019年1月至12月我院收治的300例老年DM患者作为研究对象,根据护理方案不同将其分为常规组(150例,常规西医护理)和结合组(150例,中西医结合护理)。比较两组的护理效果。结果护理后,结合组的空腹血糖(FPG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)及空腹C肽水平低于常规组(P<0.05)。护理后,结合组的全血黏度、血浆黏度(PV)及红细胞压积(PCV)低于常规组(P<0.05)。护理后,结合组的糖尿病患者生活质量特异性量表(DSQL)各维度评分及总分均低于常规组(P<0.05)。结论中西医结合护理可有效加强老年DM患者的血糖控制效果,降低血液黏度,提高生存质量,值得临床推广应用。

Objective To explore the influence of integrated traditional Chinese and western medicine nursing on blood glucose control effect in elderly diabetes mellitus(DM) patients. Methods A total of 300 elderly DM patients admitted in our hospital from January to December 2019 were selected as the research objects. According to different nursing schemes,the patients were divided into routine group(150 cases, routine western medicine nursing) and combined group(150 cases,integrated traditional Chinese and western medicine nursing). The nursing effects of the two groups were compared.Results After nursing, the levels of fasting plasma glucose(FPG), 2 h postprandial plasam glucose(2 h PG), glycated hemoglobin(HbA1c) and fasting C-peptide in the combined group were lower than those in the routine group(P<0.05). After nursing,the whole blood viscosity, plasma viscosity(PV) and packed cell volume(PCV) in the combined group were lower than those in the routine group(P<0.05). After nursing, the scores of each dimension of the Diabetes Specific Quality of Life Scale(DSQL) and total score in the combined group were lower than those in the routine group(P<0.05). Conclusion Integrated traditional Chinese and western medicine nursing can effectively strengthen the effect of blood glucose control in elderly patients with DM, reduce blood viscosity and improve the quality of life, which is worthy of clinical promotion and application.