楊艷軍

[摘要] 目的 探討糖尿病合并冠心病患者的飲食治療及護(hù)理效果。方法 選取該院2014年1月—2016年1月的130例糖尿病合并冠心病患者，隨機(jī)分為對(duì)照組與觀察組，對(duì)照組患者遵醫(yī)囑進(jìn)行治療，觀察組患者在遵醫(yī)囑治療的基礎(chǔ)上增加飲食治療與護(hù)理，治療30 d后，觀察兩組患者的臨床體征與治療效果。 結(jié)果 觀察組患者的空腹血糖、餐后兩小時(shí)血糖、心絞痛癥狀好于對(duì)照組患者，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組患者65例，其中顯效28例，有效34例，無效3例；總有效率為95.39%，對(duì)照組患者65例，其中顯效17例，有效35例，無效13例，總有效率80.00%。兩組患者總有效率比較，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 通過飲食治療和護(hù)理，可以提高糖尿病合并冠心病患者的治療效果，改善患者的臨床體征，值得在臨床中推廣。

[關(guān)鍵詞] 糖尿??；冠心?。伙嬍持委?；護(hù)理

[中圖分類號(hào)] R59 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1672-4062（2017）04（b）-0152-02

[Abstract] Objective To study the dieting treatment and nursing effect of patients with diabetes and coronary heart disease. Methods 130 cases of patients with diabetes and coronary heart disease treated in our hospital from January 2014 to January 2016 were selected and randomly divided into two groups， the control group adopted the treatment according to the doctors signs， while the observation group added the dieting treatment and nursing on the basis of the control group， after 30d treatment， the clinical body signs and treatment effect of the two groups were observed. Results The fasting blood glucose， 2 h postprandial blood glucose and angina symptoms in the observation group were better than those in the control group， and the differences were statistically significant（P<0.05）， of 65 cases in the observation group， 28 cases were markedly effective， 34 cases were effective and 3 cases were ineffective， and the total effective rate was 95.39%， of 65 cases in the control group， 17 cases were markedly effective， 35 cases were effective and 13 cases were ineffective and the total effective rate was 80.00%， and the difference in the total effective rate between the two groups was statistically significant（P<0.05）. Conclusion The dieting treatment and nursing can improve the treatment effect and improve the clinical vital signs of patients with diabetes and coronary heart disease， and it is worth clinical promotion.

[Key words] Diabetes； Coronary heart disease； Dieting treatment； Nursing

糖尿病是臨床常見的一種疾病，臨床中患者多會(huì)伴有不同程度的心血管方面疾病[1]。為了糖尿病合并冠心病病人的飲食治療及護(hù)理效果，筆者選取該院2014年1月—2016年1月的130例糖尿病合并冠心病患者，隨機(jī)分為對(duì)照組與觀察組，進(jìn)行臨床療效觀察，現(xiàn)報(bào)道如下。

1 資料與方法

1.1 一般資料

選取該院2014年1月—2016年1月的130例糖尿病合并冠心病患者，所有患者均符合 2 型糖尿病與冠心病診斷標(biāo)準(zhǔn)。將所有患者隨機(jī)分為觀察組與對(duì)照組。觀察組65例，男性患者34例，女性患者31例，患者年齡（68.13±11.12）歲，糖尿病病程（7.8±3.6）年，冠心病病程5.6±4.9）年；對(duì)照組65例，男性患者28例，女性患者37例，患者年齡（67.23±11.42）歲，糖尿病病程（8.1±4.3）年，冠心病病程（5.9±6.7）年，兩組患者一般情況（年齡、性別、病程等），差異無統(tǒng)計(jì)學(xué)意義（P>0.05）。

1.2 方法

對(duì)照組患者遵醫(yī)囑進(jìn)行治療，觀察組患者在遵醫(yī)囑治療的基礎(chǔ)上增加飲食治療與護(hù)理，治療30 d后，觀察兩組患者的臨床體征與治療效果。飲食治療[2-3]包括：糖類、蛋白質(zhì)、脂肪、無機(jī)鹽、微量元素、維生素、膳食纖維等。