扫描式葡萄糖监测系统联合辨证施膳对消渴病患者的效果研究

目的研究扫描式葡萄糖监测系统联合辨证施膳对消渴病患者的临床治疗效果。方法选取2017年12月至2018年12月该院收治的88例消渴病患者作为研究对象,按照随机数字表法分为观察组和对照组,每组各44例。对照组患者给予常规护理并应用常规血糖仪进行血糖监测,观察组根据患者不同证型给予辨证施膳并应用扫描式葡萄糖监测系统进行血糖监测。观察并比较两组患者血糖自我监测行为得分情况、监测14 d时各项指标改善情况、中医症候积分及生活质量改善情况。结果观察组患者治疗后各项血糖自我监测行为评分及总分均明显高于对照组,差异均有统计学意义(P<0.05)。两组患者治疗后血糖水平比较,差异无统计学意义(P>0.05);观察组患者平均血糖漂移幅度、最大血糖波动幅度、低血糖事件发生例次、糖化血红蛋白水平均明显低于对照组,差异均有统计学意义(P<0.05)。两组患者治疗后中医症候积分较治疗前均明显下降,且观察组较对照组下降更明显,差异均有统计学意义(P<0.05)。两组患者治疗后焦虑、抑郁状态等生活质量评分较治疗前均明显下降,且观察组较对照组下降更明显,差异均有统计学意义(P<0.05)。结论扫描式葡萄糖监测系统联合辨证施膳对消渴病患者的临床治疗效果明显,不仅可明显降低患者血糖水平,生活质量也有一定改善,还能有效提高患者血糖自我监测行为,对减少低血糖事件的发生有重要意义。

Study on the effect of scanning glucose monitoring system combined with syndrome differentiation diet on patients with diabetes

Objective To study the effect of scanning glucose monitoring system combined with syndrome differentiation diet on patients with diabetes.Methods A total of 88 cases with diabetes admitted to the hospital from December 2017 to December 2018 were enrolled in the study,and they were randomly divided into observation group and control group according to the random number table method,with 44 cases in each group.The control group was given routine care and was monitored by conventional blood glucose meter.The observation group was applied for syndrome differentiation diet according to different syndrome types and was monitored by a scanning glucose monitoring system.The blood glucose self-monitoring behavior scores,the improvement of each index on 14 days,the quality of life and the improvement of traditional chinese medicine(TCM)symptom scores of the two groups were observed and compared.Results After treatment,the scores and total scores of self-monitoring behaviors of blood glucose in the observation group were significantly higher than those in the control group,the differences between the two groups were statistically significant(P<0.05).There was no significant difference in blood glucose between the two groups after treatment(P>0.05).However,the average blood glucose fluctuation range,the maximum blood glucose fluctuation range,the hypoglycemic event and the glycated hemoglobin level were significantly lower in the observation group than those in the control group,and the differences between the two groups were statistically significant(P<0.05).The scores of TCM symptoms in the two groups were significantly decreased when compared with those before treatment,and the observation group decreased more significantly than the control group did,and the difference was statistically significant(P<0.05).The scores of anxiety and depression in the quality of life in the two groups were significantly lower than those before treatment,and the decrease of the observation group was more obvious than that of the control group and the differences between the two groups were statistically significant(P<0.05).Conclusion The scanning glucose monitoring system combined with syndrome differentiation diet has a significant effect on the clinical treatment of patients with diabetes,it can not only significantly reduce the blood glucose level of patients,but also improve the quality of life,and effectively improve blood glucose self-monitoring,so it is important to reduce the occurrence of hypoglycemic event.