饮食疗法联用胰岛素用药对老年2型糖尿病患者治疗的临床疗效以及对并发症的预防效果

Clinical Efficacy of Diet Therapy Combined with Insulin in the Treatment of Elderly Patients with Type 2 Diabetes Mellitus and the Prevention of Complications

目的围绕2型糖尿病患者,展开饮食疗法联用胰岛素用药治疗,分析临床效果。方法选取2021年1月—2024年1月南京市高淳人民医院的82例2型糖尿病患者作为研究对象,利用随机数表法分为两组,各41例,观察组应用饮食疗法联用胰岛素用药治疗,对照组给予胰岛素用药治疗,对比两组临床疗效、血糖控制效果、并发症发生率。结果观察组临床治疗总有效率97.56%、并发症发生率为4.87%,均优于对照组的85.36%、19.51%,差异有统计学意义(χ^(2)=3.904、4.100,P均<0.05)。治疗后,观察组空腹血糖(5.97±1.01)mmol/L、餐后2 h血糖(8.24±1.10)mmol/L,均低于对照组的(6.54±1.26)mmol/L、(8.93±1.32)mmol/L,差异有统计学意义(t=2.260、2.571,P均<0.05)。结论饮食疗法联用胰岛素用药治疗的效果显著。

Objective To analyze the clinical effect of dietary therapy combined with insulin in patients with type 2 diabetes.Methods Eighty-two cases of type 2 diabetes mellitus patients in Gaochun People's Hospital of Nanjing City were selected as research subjects from January 2021 to January 2024,and they were divided into two groups of 41 cases each by using the random number table method.The observation group was treated with dietary therapy coupled with insulin medication,and the control group was given insulin medication,and the two groups were compared in terms of their clinical efficacy,glycemic control effect,and the incidence of complications.Results The total effective rate of 97.56%and the complication rate of 4.87%in the observation group were better than the 85.36%and 19.51%in the control group,and the differences were statistically significant(χ^(2)=3.904,4.100,both P<0.05).After treatment,fasting plasma glucose(5.97±1.01)mmol/L and 2 hours postprandial plasma glucose(8.24±1.10)mmol/L in the observation group were lower than those in the control group(6.54±1.26)mmol/L,(8.93±1.32)mmol/L,and the differences were statistically significant(t=2.260,2.571,both P<0.05).Conclusion The effect of diet therapy combined with insulin therapy is remarkable.