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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。
Objective To investigate the effects of health education combined with dietary guidance on type 2 diabetes mellitus patients with recurrent oral ulcer. Methods 100 cases of type 2 diabetes mellitus patients with recurrent oral ulcer were divided into observation group and control group according to different nursing methods, 50 cases in each group. Both groups were treated with Kangfuxin solution combined with 1% iodine-glycerol in the ulcer for routine treatment. Patients in the control group were treated with routine nursing. Patients in the observation group were given health education and diet guidance on the basis of the control group. Record the ulcer stage and daily pain scores, observe the clinical efficacy of two groups of patients and changes in blood glucose before and after treatment. Results The average ulcer period was (4.2 ± 0.5) d in the observation group, and the average pain index was (14.5 ± 1.3). The average ulcer period in the control group was (7.3 ± 0.8) d and the average pain index was (28.5 ± 3.7) (P <0.05). The average pain index of the observation group was significantly lower than that of the control group, the difference was statistically significant (P <0.05). The total effective rate (98.0%) in the observation group was significantly higher than that in the control group (84.0%), the difference was statistically significant (P <0.05). Fasting blood glucose and postprandial blood glucose at 2 h after treatment in the observation group were significantly lower than those in the control group, with statistical significance (P <0.05). Conclusion The combined dietary guidance of health education in patients with type 2 diabetes mellitus and recurrent oral ulcer can shorten the period of oral ulcer, reduce the pain index, improve the clinical effect, improve the blood sugar level and improve the quality of life of patients. Promote the application.