CAJ | 학술논문

目的探讨自控血糖与糖尿病视网膜病变患者病情发展的关系。方法90例非增生性糖尿病视网膜病变(NPDR)患者随机分为干预组(于护理干预下自我控制血糖)及对照组(单纯降糖药物治疗)，各45例。观察两组增生性糖尿病视网膜病变(PDR)发生情况及空腹血糖(FBG)、餐后2 h血糖(2 h PBG)检测数值，并对结果进行比较。结果干预组PDR发生率为6.67%，对照组为24.44%，两组比较，差异有统计学意义(P<0.05)；且FBG、2 h PBG[(6.04±2.13)mmol/L VS (8.16±2.10)mmol/L；(8.13±2.21) mmol/L VS (9.32±2.92)mmol/L]两对数值比较，差异有统计学意义(P<0.05)。结论糖尿病视网膜病变患者病情发展与血糖波动密切相关，在护理干预下自控血糖，能有效缓解或控制病情发展，改善患者视<br>　　力，提高其生活质量。
목적탐토자공혈당여당뇨병시망막병변환자병정발전적관계。방법90례비증생성당뇨병시망막병변(NPDR)환자수궤분위간예조(우호리간예하자아공제혈당)급대조조(단순강당약물치료)，각45례。관찰량조증생성당뇨병시망막병변(PDR)발생정황급공복혈당(FBG)、찬후2 h혈당(2 h PBG)검측수치，병대결과진행비교。결과간예조PDR발생솔위6.67%，대조조위24.44%，량조비교，차이유통계학의의(P<0.05)；차FBG、2 h PBG[(6.04±2.13)mmol/L VS (8.16±2.10)mmol/L；(8.13±2.21) mmol/L VS (9.32±2.92)mmol/L]량대수치비교，차이유통계학의의(P<0.05)。결론당뇨병시망막병변환자병정발전여혈당파동밀절상관，재호리간예하자공혈당，능유효완해혹공제병정발전，개선환자시<br>　　력，제고기생활질량。
ObjectiveTo investigate the relationship between self-controlled blood glucose and progression of diabetic retinopathy.MethodsA total of 90 patients with non proliferative diabetic retinopathy (NPDR) were randomly divided into intervention group (self-controlled blood glucose with nursing intervention) and control group (single hypoglycemic agent therapy), with 45 cases in each group. Observations were made on incidence of proliferative diabetic retinopathy (PDR), and values of fasting blood glucose (FBG), 2 h postprandial blood glucose (2 h PBG). Comparison was made on those outcomes.ResultsComparison of incidences of PDR between intervention group as 6.67% and control group as 24.44% showed their difference had statistical significance (P<0.05). There were statistically significant differences of FBG and 2 h PBG [(6.04±2.13) mmol/L VS (8.16±2.10) mmol/L; (8.13±2.21) mmol/L VS (9.32±2.92) mmol/L] between the two groups (P<0.05). ConclusionProgression of diabetic retinopathy is closely related with glucose fluctuation. Self-controlled blood glucose with nursing intervention can effectively relieve and control the progression, and improve patients’ vision and life quality.