CAJ | 학술논문

目的：探讨血糖控制护理计划干预对2型糖尿病合并颈动脉病变患者的作用分析。方法选取本科室于2012年10月至2014年10月收治的糖尿病患者100例，男性63例，女性37例，年龄（56．6±10．4）岁；入选对象均符合WHO 2007年制定的2型糖尿病诊断标准及根据血管超声结果均患有颈动脉粥样硬化。将入选对象随机分为干预组（50例）和对照组（50例）。干预组给予药物治疗，同时进行血糖控制护理干预。对照组接受常规的糖尿病护理措施。观察患者护理前后空腹（ FBG）及餐后2h的血糖（F2hBG）控制情况及颈动脉内膜中层厚度（IMT）及斑块的大小的变化情况。结果两组患者进行血糖控制护理计划干预前后血糖控制效果较护理前更显著，且干预组好于对照组；同时，颈动脉IMT及斑块较前好转，且干预组好于对照组。结论血糖控制护理计划干预能较好地控制2型糖尿病合并颈动脉病变患者的病情，促进其健康恢复，值得临床推广使用。
목적：탐토혈당공제호리계화간예대2형당뇨병합병경동맥병변환자적작용분석。방법선취본과실우2012년10월지2014년10월수치적당뇨병환자100례，남성63례，녀성37례，년령（56．6±10．4）세；입선대상균부합WHO 2007년제정적2형당뇨병진단표준급근거혈관초성결과균환유경동맥죽양경화。장입선대상수궤분위간예조（50례）화대조조（50례）。간예조급여약물치료，동시진행혈당공제호리간예。대조조접수상규적당뇨병호리조시。관찰환자호리전후공복（ FBG）급찬후2h적혈당（F2hBG）공제정황급경동맥내막중층후도（IMT）급반괴적대소적변화정황。결과량조환자진행혈당공제호리계화간예전후혈당공제효과교호리전경현저，차간예조호우대조조；동시，경동맥IMT급반괴교전호전，차간예조호우대조조。결론혈당공제호리계화간예능교호지공제2형당뇨병합병경동맥병변환자적병정，촉진기건강회복，치득림상추엄사용。
Objective To study the clinical effects study of glycemic control nursing intervene on type II diabetes combined with carotid artery lesion.Methods A total of 100 diabetes patients were included into this study from Oct.2012 to Oct.2014, 63 males and 37 males, with a average age of (56.6 ±10.4).All the patients were conformed to type II diabetes diagnosis criterion made by WHO 2007 and have carotid artery lesion conformed by vascular ultrasound.All the patients were randomly divided into intervention group and control group, 50 patients in each group.Patients in intervention group were treated by medicine therapy and glycemic control nursing intervene.Patients in control group were treated by routine diabetes treatment and nursing.The FBG, F2hBG level, IMT and plaque area were compared between two groups.Results The glycemic control effects were significantly increased after nursing in both group and the observation group was significantly better than that in control group.The IMT and plaque area were significantly decreased after nursing in both group and the observation group was significantly better than that in control group.Conclusions Glycemic control nursing intervene has a better clinical effects in the treatment on type II diabetes combined with carotid artery lesion makes it worth for clinical application.