针对性饮食护理在老年肺结核伴糖尿病患者中的应用效果分析
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摘要
目的研究针对性饮食护理对老年肺结核(PTB)伴糖尿病(DM)患者血糖和营养水平以及PTB康复效果的影响。方法将82例PTB合并DM患者随机分为观察组(针对性饮食护理)和常规组(常规饮食护理)。结果随访6个月时,两组患者痰菌转阴率无明显差异(P>0.05),病灶吸收和咯血率差异显著(P<0.05);两组患者FPG、MAGE、CV-FPG均明显上升(P<0.05),且常规组上升幅度更大(P<0.05);两组患者BMI、HB、ALB和TLC均明显升高(P<0.05),且观察组升高幅度更大(P<0.05);观察组满意度明显高于常规组(P<0.05)。结论针对性饮食护理可有效控制老年PTB伴DM患者血糖水平,提高机体营养水平,改善患者代谢状态,促进患者康复。
Objective To study the effect of targeted diet nursing on blood glucose and nutritional level and rehabilitation effect of PTB in elderly patients with pulmonary tuberculosis(PTB) and diabetes mellitus(DM). Methods Eighty-two cases of patients with PTB and DM were randomly divided into the observation group(targeted dietary nursing) and the routine group(routine dietary nursing). Results After 6 months of follow-up, there was no significant difference in the negative rate of sputum bacteria in the two groups(P > 0.05), and the difference of focal absorption and hemoptysis was significant(P < 0.05). The FPG, MAGE and CV-FPG increased significantly in the two groups(P < 0.05), and the normal group increased significantly(P < 0.05). The BMI, HB, ALB and TLC were significantly higher in the two groups(P < 0.05), and the increase in the observation group was greater(P < 0.05), and the satisfaction of the observation group was significantly higher than that of the conventional group(P < 0.05). Conclusion Targeted diet nursing can effectively control the blood sugar level of elderly PTB patients with DM, improve the nutritional level of patients, improve the metabolic state of patients, and promote the rehabilitation of patients.
Objective To study the effect of targeted diet nursing on blood glucose and nutritional level and rehabilitation effect of PTB in elderly patients with pulmonary tuberculosis(PTB) and diabetes mellitus(DM). Methods Eighty-two cases of patients with PTB and DM were randomly divided into the observation group(targeted dietary nursing) and the routine group(routine dietary nursing). Results After 6 months of follow-up, there was no significant difference in the negative rate of sputum bacteria in the two groups(P > 0.05), and the difference of focal absorption and hemoptysis was significant(P < 0.05). The FPG, MAGE and CV-FPG increased significantly in the two groups(P < 0.05), and the normal group increased significantly(P < 0.05). The BMI, HB, ALB and TLC were significantly higher in the two groups(P < 0.05), and the increase in the observation group was greater(P < 0.05), and the satisfaction of the observation group was significantly higher than that of the conventional group(P < 0.05). Conclusion Targeted diet nursing can effectively control the blood sugar level of elderly PTB patients with DM, improve the nutritional level of patients, improve the metabolic state of patients, and promote the rehabilitation of patients.
引文
[1]张雨薇,童南伟.《中国成人糖尿病肾病临床诊断的专家共识》解读[J].中国实用内科杂志,2015,35(2):139-142.
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[9]陈爱娇,胡浙芳,冯丽君.2型糖尿病患者膳食营养摄入与血清钙、糖代谢之间关系研究[J].浙江医学,2017,39(12):993-996.
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[11]金亮,张茜,李柏青,等.评估人T淋巴细胞亚群对结核杆菌脂质抗原的免疫反应[J].中国免疫学杂志,2016,32(2):159-164.
[12]石晓建,李军华,刘群,等.糖尿病合并肺结核患者肺泡巨噬细胞人类组织相容性Ⅱ类抗原信使核糖核酸的表达[J].临床荟萃,2004,19(4):193-195.
[13]曹彦,吴冬梅,王心静,等.肺结核患者外周血CD4+、CD8+T细胞Blimp-1表达下降[J].临床肺科杂志,2015,20(5):777-780.
[14]罗勇强,林东子.肺结核合并糖尿病患者外周血辅助性T细胞17和白细胞介素-17A检测及临床意义[J].临床内科杂志,2015,0(5):348-350.
[15]王琳,陈薇.个体化饮食干预在肺结核合并糖尿病患者中的应用研究[J].上海护理,2016,16(2):24-26.
[16]王晓霞,王红阳.糖尿病并发肺结核老年患者健康素养与治疗效果的关系[J].浙江预防医学,2017,29(1):28-31.
[2]郑会秋,杜建,舒薇,等.肺结核合并糖尿病危险因素分析[J].中国病原生物学杂志,2015,10(12):1078-1081.
[3]桂徐蔚,沙巍.肺结核合并糖尿病研究进展[J].中国实用内科杂志,2015,35(8):657-660.
[4]胡海娟,邹圣强.肺结核合并糖尿病患者的抗结核治疗效果及其影响因素[J].中华全科医学,2016,14(9):1504-1505.
[5]中华医学会结核病学分会.肺结核诊断和治疗指南[J].中国实用乡村医生杂志,2013,20(2):70-74.
[6]田勍,洪天配.美国糖尿病学会2017年版糖尿病医学诊疗标准的解读[J].中国糖尿病杂志,2017,25(7):577-581.
[7]苗春培.结合中医康复指导的综合护理干预对老年糖尿病患者的影响[J].中华现代护理杂志,2017,23(17):2266-2269.
[8]张宏军,王俊玲,孙希霞,等.蛋白质营养不良对抗结核药物肝损害的影响[J].国际呼吸杂志,2016,36(14):1049-1052.
[9]陈爱娇,胡浙芳,冯丽君.2型糖尿病患者膳食营养摄入与血清钙、糖代谢之间关系研究[J].浙江医学,2017,39(12):993-996.
[10]黄亚菊,鲁敏.个性化饮食指导在肺结核合并糖尿病患者中的应用[J].上海护理,2016,16(6):37-39.
[11]金亮,张茜,李柏青,等.评估人T淋巴细胞亚群对结核杆菌脂质抗原的免疫反应[J].中国免疫学杂志,2016,32(2):159-164.
[12]石晓建,李军华,刘群,等.糖尿病合并肺结核患者肺泡巨噬细胞人类组织相容性Ⅱ类抗原信使核糖核酸的表达[J].临床荟萃,2004,19(4):193-195.
[13]曹彦,吴冬梅,王心静,等.肺结核患者外周血CD4+、CD8+T细胞Blimp-1表达下降[J].临床肺科杂志,2015,20(5):777-780.
[14]罗勇强,林东子.肺结核合并糖尿病患者外周血辅助性T细胞17和白细胞介素-17A检测及临床意义[J].临床内科杂志,2015,0(5):348-350.
[15]王琳,陈薇.个体化饮食干预在肺结核合并糖尿病患者中的应用研究[J].上海护理,2016,16(2):24-26.
[16]王晓霞,王红阳.糖尿病并发肺结核老年患者健康素养与治疗效果的关系[J].浙江预防医学,2017,29(1):28-31.