文章摘要
余季文,刘爱华,胡亚莉,陆春燕,张晶,邢惠莉,班华川,朱长万,朱建立.老年糖尿病伴食欲不佳患者住院期间的血糖管理[J].中国临床保健杂志,2018,21(2):185-188.
老年糖尿病伴食欲不佳患者住院期间的血糖管理
In-hospital management of hyperglycemia in elderly patients with diabetes mellitus and dysorexia
投稿时间:2018-02-02  
DOI:10.3969/J.issn.1672-6790.2018.02.012
中文关键词: 老年  糖尿病  住院期血糖管理
英文关键词: Elderly  Diabetes mellitus  In-hospital glycemic management
基金项目:上海浦东新区卫生计生科技面上项目(PW2013A-61)
作者单位E-mail
余季文 上海杨思医院内分泌科,200126 szfssd@163.com 
刘爱华 上海杨思医院内分泌科,200126 liuaihua123456@qq.com 
胡亚莉 上海杨思医院内分泌科,200126  
陆春燕 上海杨思医院内分泌科,200126  
张晶 上海杨思医院内分泌科,200126  
邢惠莉 上海杨思医院内分泌科,200126  
班华川 上海杨思医院心内科,200126  
朱长万 上海杨思医院神经内科,200126  
朱建立 上海杨思医院呼吸内科,200126  
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中文摘要:
      目的 探讨老年糖尿病伴食欲不佳患者住院期间血糖管理的优化策略。方法 选取89例年龄>65岁、住院前2天内每日摄入主食<25 g、住院≥5 d的患者,采用计算机随机分成血糖管理组(43例)和对照组(46例)。血糖管理组患者由医院血糖管理小组制定个体化血糖控制目标,并实施合理的血糖监测及降糖方案。结果 血糖管理组较对照组平均血糖水平[(10.19±1.38)mmol/L比(12.91±1.25)mmol/L,P=0.004]、血糖变异性[(2.91±0.46)mmol/L比(3.34±0.49)mmol/L,P=0.001]及低血糖发生率(1.8%比2.9%,P=0.049)显著降低;住院天数显著缩短(13.63±2.06)d比(14.64±2.43)d,P=0.036);血糖达标率显著增高(65.1%比39.1%,P=0.014)。结论 对老年糖尿病伴食欲不佳住院患者,优化血糖管理可获得明显的临床疗效。
英文摘要:
      Objective To explore the optimal strategy of in hospital glycemic control for elderly patients with diabetes mellitus and dysorexia.Methods Eighty-nine diabetic patients who were older than 65 years and took less than 25 grams for main meal two days prior to admission were randomly allocated into glycemic management group(n=43) and control group(n=46).For patients in the glycemic management group,individual glycemic control target was made by the hospital glycemic management committee,and optimal hypoglycemic protocol was carried out based upon strict glycemic monitoring.Results Patients in the glycemic management group had significantly lower average serum glucose level [(10.19±1.38)mmol/L VS.(12.91±1.25)mmol/L,P=0.004],more decreased glucose variability [(2.91±0.46)mmol/L VS.(3.34±0.49)mmol/L,P=0.001] and less incidence of hypoglycemia (1.8% VS.2.9%,P=0.049) than those in the control group.The time of hospital stay was shorter [(13.63±2.06)d VS.(14.64±2.43)d,P=0.036] and success rate of optimal glycemic control was higher (65.1% VS.39.1%,P=0.014) in the glycemic management group.Conclusion The optimal glycemic management is clinically beneficial for elderly in-hospital patients with diabetes and dysorexia.
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