摘要
目的观察饮食一体化联合运动康复对老年慢性心力衰竭(心衰)合并2型糖尿病患者的影响。方法选取100例老年慢性心衰合并2型糖尿病患者,以随机数字表法分成对照组和研究组,各50例。对照组给予常规饮食护理,研究组给予饮食一体化护理联合运动康复干预。比较两组患者干预前后营养指标、血糖指标、Lee氏心衰积分以及心功能分级、满意度。结果干预后,两组血红蛋白、转铁蛋白、白蛋白较干预前均提升,空腹血糖、糖化血红蛋白、Lee氏心衰积分较干预前均降低,且研究组患者血红蛋白、转铁蛋白、白蛋白均高于对照组,而空腹血糖、糖化血红蛋白、Lee氏心衰积分均低于对照组,差异有统计学意义(P<0.05)。研究组患者干预后心功能分级Ⅰ级占比58.00%高于对照组的22.00%,而Ⅱ级占比42.00%、Ⅲ级占比0均低于对照组的63.00%、12.00%,差异有统计学意义(P<0.05)。研究组患者总满意度100.00%高于对照组的88.00%,差异有统计学意义(P<0.05)。结论对老年慢性心衰合并2型糖尿病患者以饮食一体化联合运动康复干预,可明显改善患者相关营养指标,控制血糖水平,减轻心衰症状,改善心功能,提升患者满意度,效果理想。
Objective To observe the effect of diet integration combined with exercise rehabilitation on elderly patients with chronic heart failure and type 2 diabetes mellitus.Methods A total of 100 elderly patients with chronic heart failure and type 2 diabetes mellitus were divided into a control group and a study group by using a random number table,with 50 cases in each group.The control group was given conventional diet intervention,and the study group was given diet integration combined with exercise rehabilitation intervention.Comparison of nutritional indicators,blood glucose indicators and Lee's heart failure score before and after the intervention,cardiac function grading,and satisfaction between the two groups.Results After the intervention,the levels of hemoglobin,transferrin and albumin in both groups increased compared with before the intervention,while the fasting blood glucose,glycated hemoglobin and Lee's heart failure score decreased compared with before the intervention;the hemoglobin transferrin and albumin in the study group were higher than those in the control group;the fasting blood glucose,the glycated hemoglobin and the Lee's heart failure score in the study group were lower than the control group;the difference was statistically significant(P<0.05).After the intervention,the percentages of cardiac function gradeⅠwas 58.00%in the study group,which was higher than 22.00%in the control group;the percentages of cardiac function gradeⅡandⅢwere 42.00%and 0,which were lower than 63.00%and 12.00%in the control group;the difference was statistically significant(P<0.05).The total satisfaction of patients was 100.00%in the study group,which was higher than 88.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion The diet integration combined with exercise rehabilitation intervention for elderly patients with chronic heart failure and type 2 diabetes mellitus can significantly improve the nutritional indicators of patients,control the blood glucose level,alleviate the symptoms of heart failure,improve cardiac function,and enhance patient satisfaction.The effect is ideal.
作者
张水连
ZHANG Shui-lian(Youxi County General Hospital,Sanming 365100,China)
出处
《中国现代药物应用》
2025年第12期156-159,共4页
Chinese Journal of Modern Drug Application
关键词
饮食一体化
运动康复
联合干预
老年
慢性心力衰竭
2型糖尿病
血糖
Diet integration
Exercise rehabilitation
Joint intervention
Old age
Chronic heart failure
Type 2 diabetes mellitus
Blood glucose
