CAJ | 학술논문

目的:比较初发2型糖尿病强化治疗与常规治疗的血糖和血脂及血压控制情况.方法:160例初发糖尿病患者按照入组时间顺序分成2组(先收集常规治疗组80例,再收集强化治疗组80例),治疗前检测空腹血糖(FBG)、糖化血红蛋白(HbA1C)、血压、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白-C(LDL-C)和谷丙转氨酶(ALT)及谷草转氨酶(AST).常规治疗组予门诊常规治疗,强化治疗组定期检测血压和血糖及血脂,对未达标患者调整治疗方案,直至血压和血糖及血脂达到治疗标准.6个月后再次检测相关指标,比较2组各观察指标的差异.结果:6个月时强化治疗组TC和LDL-C,与常规治疗组比较均有明显降低(P<0.05).结论:2型糖尿病强化干预治疗在控制血糖的同时能使血脂得到进一步控制.
목적:비교초발2형당뇨병강화치료여상규치료적혈당화혈지급혈압공제정황.방법:160례초발당뇨병환자안조입조시간순서분성2조(선수집상규치료조80례,재수집강화치료조80례),치료전검측공복혈당(FBG)、당화혈홍단백(HbA1C)、혈압、총담고순(TC)、감유삼지(TG)、저밀도지단백-C(LDL-C)화곡병전안매(ALT)급곡초전안매(AST).상규치료조여문진상규치료,강화치료조정기검측혈압화혈당급혈지,대미체표환자조정치료방안,직지혈압화혈당급혈지체도치료표준.6개월후재차검측상관지표,비교2조각관찰지표적차이.결과:6개월시강화치료조TC화LDL-C,여상규치료조비교균유명현강저(P<0.05).결론:2형당뇨병강화간예치료재공제혈당적동시능사혈지득도진일보공제.
Objective: To evaluate the effect of intensive treatment on the blood sugar,blood lipids and blood pressure levels in incipient diabetes II patients. Methods: One hundred and sixty incipient diabetes patients were allocated into two groups according to chronological order:80 cases received routine treatment and 80 cases received intensive treatment.Fasting blood-glucose (FBG),glycosylated hemoglobin (HbA1C),blood pressure,blood cholesterol (TC),triglyceride (TG),LDL cholesterol-C (LDL-C),alanine aminotransferase (ALT) and aspertate aminotransferase (AST) were tested before treatment.For intensive treatment group blood pressure,blood sugar and blood lipids were regularly tested,and the therapeutic protocols were adjusted according to the test results until the therapeutic target reached.After six months,HbA1C,blood pressure,TC,LDL-C,ALT and AST were tested again and comparison was made between the two groups. Results: There was a significant decrease in TC and LDL-C in the intensive treatment group compared with those in the routine treatment group (P<0.05). Conclusion: The intensive treatment on the incipient diabetes Ⅱ patients facilitate the control of the blood lipids and blood sugar.