注射用胰岛素、饮食联合运动治疗对糖尿病伴高血压患者血压血糖水平控制的影响  

Effects of Insulin Injection,Diet Combined with Exercise on Blood Pressure and Blood Glucose Control in Patients with Diabetes Mellitus and Hypertension

作　　者：林燕婷 LIN Yanting(Department of Pharmacy,Tingxi Health Center,Tongan District,Xiamen 361000,China)

机构地区：[1]厦门市同安区汀溪卫生院药剂科,厦门361000

出　　处：《中国医药指南》2024年第36期127-129,共3页Guide of China Medicine

摘　　要：目的探讨对糖尿病伴高血压患者行注射用胰岛素、饮食联合运动治疗的效果。方法择取我院内分泌科2023年1月至2023年12月2型糖尿病(T2DM)伴高血压患者80例,以随机数字表法分组,对照组(n=40)予以治疗注射用胰岛素常规治疗,观察组(n=40)基于对照组加用饮食联合运动治疗,观察两组临床效果。结果治疗前,两组血糖指标水平无统计学意义(P>0.05),治疗后,两组血糖指标均呈现出降低趋势,观察组较对照组低(P<0.05)。治疗前,两组血压指标无统计学意义(P>0.05),治疗后,两组血压指标均呈现出降低趋势,观察组较对照组低(P<0.05)。治疗前,两组血脂指标无统计学意义(P>0.05),治疗后,两组血脂指标均呈现出降低趋势,观察组较对照组低(P<0.05)。结论T2DM伴高血压患者在注射用胰岛素治疗的基础上再配合饮食联合运动治疗的效果显著,经用药治疗辅助饮食、运动治疗可巩固用药治疗效果,不仅可促进机体血流动力学状态改善,同时还可以对患者血压、血糖以及血脂水平加以有效控制,继而确保治疗效果。Objective To investigate the effect of insulin injection,diet combined with exercise on patients with diabetes mellitus and hypertension.Methods A total of 80 patients with type 2 diabetes mellitus(T2DM)and hypertension were selected from the Department of Endocrinology of our hospital from January 2023 to December 2023,and divided into random number table method.The control group(n=40)received conventional treatment with insulin injection,the observation group(n=40)was treated with diet combined with exercise based on the control group,and the clinical effects of the two groups were observed.Results Before treatment,there was no difference in blood glucose index between the two groups(P>0.05).After treatment,blood glucose index of the two groups showed a decreasing trend,and the observation group was lower than the control group(P<0.05).Before treatment,there was no difference in blood pressure index between the two groups(P>0.05).After treatment,blood pressure index of the two groups showed a decreasing trend,and the observation group was lower than the control group(P<0.05).Before treatment,there was no difference in blood lipid indexes between the two groups(P>0.05).After treatment,blood lipid indexes of the two groups showed a decreasing trend,and the observation group was lower than the control group(P<0.05).Conclusions In T2DM patients with hypertension,insulin injection combined with diet and exercise therapy has a significant effect.Drug therapy combined with diet and exercise therapy can consolidate the effect of drug therapy,which can not only improve the hemodynamics state of the body,but also effectively control the blood pressure,blood sugar and blood lipid levels of patients,thus ensuring the therapeutic effect.

关 键 词：糖尿病 高血压 血压 注射用胰岛素 血糖 饮食联合运动治疗 血脂 

分 类 号：R587.1[医药卫生—内分泌] R544.1[医药卫生—内科学]