老年糖尿病患者进行血糖检验的临床价值研究  

Study on the clinical value of blood glucose test in elderly diabetes mellitus patients

作　　者：崔颖[1] 林红军 CUI Ying;LIN Hong-jun(Beijing First Social Welfare Institute(Beijing Geriatrics Hospital),Beijing 100029,China)

机构地区：[1]北京市第一社会福利院(北京市老年病医院),100029

出　　处：《中国实用医药》2022年第17期92-94,共3页China Practical Medicine

摘　　要：目的 探讨老年糖尿病患者进行血糖检验的临床价值。方法 200例老年糖尿病患者,根据随机数字表法分为对照组和观察组,各100例。两组患者确诊后均先予以常规糖尿病治疗策略进行治疗,在此基础上,对照组选择自愿接受血糖检验,间隔3个月进行1次糖化血红蛋白检验,观察组则每周进行1次血糖检验,间隔3个月进行1次糖化血红蛋白检验。比较两组患者治疗前后空腹血糖、餐后2 h血糖、糖化血红蛋白水平以及血糖控制效果。结果 治疗后,观察组患者空腹血糖(6.41±1.02)mmol/L、餐后2 h血糖(8.52±1.32)mmol/L、糖化血红蛋白(6.61±1.42)%均低于对照组的(7.26±1.15)mmol/L、(9.41±1.45)mmol/L、(7.46±1.50)%,差异均具有统计学意义(P<0.05)。治疗后,观察组血糖控制总有效率95.00%高于对照组的76.00%,差异具有统计学意义(P<0.05)。结论 老年糖尿病患者定期开展血糖检验,结合检验结果合理调整治疗方案,可更好地促进血糖指标达到正常范围,从而提高血糖控制效果,有较高的应用价值,值得临床应用。Objective To discuss the clinical value of blood glucose test in elderly diabetes mellitus patients.Methods A total of 200 elderly patients with diabetes mellitus were divided into control group and observation group according to random numerical table,with 100 cases in each group.Both groups received conventional diabetes treatment strategies after diagnosis.In the control group,glycosylated hemoglobin tests were performed every 3 months,while in the observation group,blood glucose tests were performed once a week and glycosylated hemoglobin tests were performed at an interval of 3 months.The fasting blood glucose,2 h postprandial blood glucose,glycosylated hemoglobin levels before and after treatment and blood glucose control effects were compared between the two groups.Results After treatment,the fasting blood glucose(6.41±1.02)mmol/L,2 h postprandial blood glucose(8.52±1.32)mmol/L,and glycosylated hemoglobin(6.61±1.42)%in the observation group were lower than(7.26±1.15).mmol/L,(9.41±1.45)mmol/L,and(7.46±1.50)%in the control group,and the differences were statistically significant(P<0.05).After treatment,the total effective rate of blood glucose control 95.00%in the observation group was higher than 76.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Regular blood glucose testing in elderly diabetes mellitus patients and reasonable adjustment of the treatment plan with the test results can better promote the blood glucose index to reach the normal range and thus improve the effect of blood glucose control,which has high application value and is worthy of clinical application.

关 键 词：老年糖尿病 血糖检验 临床价值 

分 类 号：R587.1[医药卫生—内分泌]