【摘要】 目的探讨健康教育联合饮食指导对2型糖尿病合并复发性口腔溃疡患者的影响。方法 100例2型糖尿病合并复发性口腔溃疡患者,根据护理方式的不同分为观察组和对照组,每组50例。两组患者均使用康复新液联合1%的碘甘油涂在溃疡处进行常规治疗,对照组患者采用常规护理,观察组患者在对照组基础上采取健康教育联合饮食指导的方式。记录患者溃疡期和每天的疼痛分值,观察两组患者的临床疗效及治疗前后血糖变化。结果观察组的平均溃疡期为(4.2±0.5)d,平均疼痛指数为(14.5±1.3)分;对照组的平均溃疡期为(7.3±0.8)d,平均疼痛指数为(28.5±3.7)分;观察组的溃疡期明显短于对照组,差异具有统计学意义(P<0.05);观察组的平均疼痛指数明显低于对照组,差异具有统计学意义(P<0.05)。观察组总有效率(98.0%)明显高于对照组(84.0%),差异具有统计学意义(P<0.05)。护理后观察组空腹血糖及餐后2 h血糖明显低于对照组,差异具有统计学意义(P<0.05)。结论健康教育联合饮食指导在2型糖尿病合并复发性口腔溃疡患者的治疗中能缩短患者的口腔溃疡期、降低疼痛指数、提高临床治疗效果、改善患者的血糖值,提高患者的生活质量,值得临床推广应用。更多还原

【Abstract】 Objective To investigate influence by health education combined with diet guidance on type 2 diabetes mellitus complicated with recurrent oral ulceration patients. Methods A total of 100 type 2 diabetes mellitus complicated with recurrent oral ulceration patients were divided by their different nursing measures into observation group and control group, with 50 cases in each group. Both groups received Kangfuxin liquid combined with 1% iodine glycerin on ulceration for bonventional treatment, and the control group received conventional nursing. The observation group also received additional health education combined with diet guidance. Records were made during ulceration stage and in every day on pain degree of patients, and observation was made on clinical effect and blood glucose changes before and after treatment in both groups. Results The observation group had mean ulceration stage as(4.2±0.5) d, and mean pain score as(14.5±1.3) points. The control group had mean ulceration stage as(7.3±0.8) d, and mean pain score as(28.5±3.7) points. The observation group had obviously shorter ulceration stage than the control group, and the difference had statistical significance(P<0.05). The observation group had obviously lower mean pain score than the control group, and their difference had statistical significance(P<0.05). The observation group had much higher total effective rate(98.0%) than the control group(84.0%), and the difference had statistical significance(P<0.05). After nursing, the observation group had much lower fasting blood glucose and 2 h postprandial blood glucose than the control group, and the difference had statistical significance(P<0.05). Conclusion Combination of health education and diet guidance in the treatment of type 2 diabetes mellitus complicated with recurrent oral ulceration patients can shorten their oral ulceration stage, reduce pain score, enhance clinical effect, improve blood glucose and quality of life in patients.更多还原