【摘要】 目的 探讨基于稳定肌训练的延续性护理结合低碳水化合物膳食干预对颈椎病合并糖尿病患者颈椎功能及血糖控制的影响。方法 选取2020年1月至2022年1月我院收治的80例颈椎病合并糖尿病患者为研究对象，按照随机数字表法将其分为对照组与观察组，各40例。对照组采用常规护理干预，观察组在对照组基础上增加基于稳定肌训练的延续性护理结合低碳水化合物膳食干预。比较两组的干预效果。结果 干预后，观察组的颈椎功能障碍指数（NDI）评分低于对照组，日本矫形外科协会（JOA）评分高于对照组（P<0.05）。干预后，观察组的前列腺素E₂（PGE₂）、多巴胺（DA）、P物质（SP）水平低于对照组（P<0.05）。干预后，观察组的空腹血糖（FBG）、餐后2 h血糖（2 h PBG）水平及胰岛素抵抗指数（HOMA-IR）低于对照组（P<0.05）。结论基于稳定肌训练的延续性护理结合低碳水化合物膳食干预不仅能够促进颈椎病合并糖尿病患者颈椎功能恢复，缓解疼痛程度，还能有效提高血糖控制水平。更多还原

【Abstract】 Objective To explore the effects of continuous nursing based on stable muscle training combined with low-carbohydrate dietary intervention on cervical spine function and blood glucose control in patients with cervical spondylosis and diabetes mellitus. Methods A total of 80 patients with cervical spondylosis and diabetes mellitus admitted in our hospital from January 2020 to January 2022 were selected as the research objects. According to the random number table method, the patients were divided into control group and observation group, with 40 cases in each group. The control group was given routine nursing intervention, and the observation group was given continuous nursing based on stable muscle training combined with low-carbohydrate dietary intervention on the basis of the control group. The intervention effects of the two groups were compared. Results After intervention, the Neck Disability Index（NDI） score of the observation group was lower than that of the control group, and the Japanese Orthopedic Association（JOA） score was higher than that of the control group（P<0.05）. After intervention, the levels of prostaglandin E₂（PGE₂）, dopamine（DA） and substance P（SP） in the observation group were lower than those in the control group（P<0.05）. After intervention, the fasting blood glucose（FBG）, 2 h postprandial blood glucose（2 h PBG）levels and homeostasis model assessment of insulin resistance（HOMA-IR） in the observation group were lower than those in the control group（P<0.05）. Conclusion Continuous nursing based on stable muscle training combined with low-carbohydrate dietary intervention can not only promote the recovery of cervical spine function and relieve pain in patients with cervical spondylosis and diabetes mellitus, but also effectively improve the level of blood glucose control.更多还原