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目的观察分析老年乙型糖尿病患者的临床诊断和治疗方法,总结其临床经验和临床意义。方法选取我院2009年8月至2011年8月56例年龄在60岁以上的乙型糖尿病患者,其中A组:给予皮下注射胰岛素联合口服盐酸二甲双胍治疗有19例,B组:给予调整饮食和口服盐酸二甲双胍及其他降糖药物治疗有21例,C组:给予运动、饮食调整和盐酸二甲双胍治疗有16例,观察对比三组治疗效果。结果三组治疗后空腹血糖、餐后2h血糖比较治疗前均显著下降(P<0.05),三组间比较无明显差异(P>0.05);C组治疗前后体重指数几乎无明显改变,与A、B组相比有一定差异(P<0.05)。结论对于老年乙型糖尿病患者的防治重点是早期干预,定期对老年患者进行血糖监测,积极预防各种并发症,早期采取运动、饮食调整和合理的药物辅助治疗,对早期控制血糖水平,提高治愈率有积极的意义。
Objective To observe and analyze the clinical diagnosis and treatment of elderly patients with type 2 diabetes and to summarize its clinical experience and clinical significance. Methods Fifty-six patients with diabetes mellitus (aged 60 years or older) in our hospital from August 2009 to August 2011 were selected. Group A: 19 cases were treated with subcutaneous insulin and oral metformin hydrochloride; Group B: Oral administration of metformin hydrochloride and other hypoglycemic drugs in 21 cases, C group: exercise, diet and metformin hydrochloride treatment in 16 cases, observed and compared the three groups of treatment. Results The fasting blood glucose and postprandial 2-hour postprandial blood glucose of the three groups decreased significantly (P <0.05), and there was no significant difference between the three groups (P> 0.05). The body mass index of group C before and after treatment had almost no change, , There was a certain difference between group B (P <0.05). Conclusion The prevention and treatment of elderly patients with type 2 diabetes focus on early intervention, regular monitoring of blood glucose in elderly patients, and actively prevent various complications, early exercise, dietary adjustments and reasonable drug-assisted treatment of early control of blood glucose levels and improve the cure Rate has positive meaning.