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目的探讨2型糖尿病强化血糖控制的方法和临床影响。方法选取2008年8月-2010年8月期间收治的156例2型糖尿病患者,随机分成观察组78例,对照组78例,对照组患者仅进行常规治疗,观察组给予强化血糖控制治疗,比较两组患者的临床治疗效果。结果经分别治疗后,观察组患者的空腹血糖、餐后2小时血糖、糖化血红蛋白情况均明显低于对照组患者,差异显著(P<0.05)具有统计学意义;经随访3-4年,观察组患者心血管事件发生率是6.41%,对照组患者心血管事件发生率是16.67%,两组比较差异显著(P<0.05),具有统计学意义。结论给予2型糖尿病患者强化血糖控制治疗相比于常规治疗可以更有效地控制血糖,降低心血管事件的发生,同时对2型糖尿病患者的治疗上应根据患者的实际情况给予更有针对性的治疗,并注意提高患者的自我监控能力。
Objective To investigate the methods and clinical effects of intensive glycemic control in type 2 diabetes. Methods A total of 156 patients with type 2 diabetes admitted from August 2008 to August 2010 were randomly divided into observation group (n = 78) and control group (n = 78). Patients in the control group received conventional therapy only. Patients in the observation group were given intensive glycemic control. Clinical efficacy of two groups of patients. Results After treatment, fasting blood glucose, 2-hour postprandial blood glucose and HbA1c in the observation group were significantly lower than those in the control group (P <0.05). After 3 to 4 years of follow-up, The incidence of cardiovascular events was 6.41% in the group and 16.67% in the control group. There was significant difference between the two groups (P <0.05), which was statistically significant. CONCLUSIONS: Intensive glycemic control in patients with type 2 diabetes may be more effective in controlling blood glucose and reducing the incidence of cardiovascular events compared with conventional therapy. At the same time, patients with type 2 diabetes should be given more targeted treatment according to the actual situation of patients Treatment, and pay attention to improve patient self-monitoring ability.