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目的探讨心理护理结合中药治疗对降低糖尿病患者血尿酸(UA)水平的临床应用效果。方法回顾性分析2015年1月至2016年12月内蒙古民族大学附属医院诊治的94例糖尿病患者,按照不同的治疗方法分为观察组和对照组,每组各47例。对照组患者采用常规护理,应用西药进行治疗;观察组患者采用心理护理,应用中药进行治疗。观察、记录2组患者的治疗效果和UA水平变化。结果治疗后2组患者的空腹血糖和餐后2 h血糖均低于治疗前,差异有统计学意义(P<0.05);治疗后观察组患者空腹血糖低于对照组,差异有统计学意义(P<0.05);治疗后观察组患者的尿素氮(BUN)、UA、肌酐(Cr)水平与治疗前比较,均明显降低,差异有统计学意义(P<0.05);治疗前后对照组患者的BUN、UA、Cr水平比较,差异无统计学意义(P>0.05);治疗后2组患者的各项指标水平比较,差异有统计学意义(P<0.05);治疗后观察组患者的治疗总有效率(89.4%)高于对照组(72.3%),差异有统计学意义(P<0.05)。结论心理护理联合中药治疗方案可以有效地降低糖尿病患者的UA水平,提高治疗效果,值得临床推广应用。
Objective To investigate the clinical effect of psychological nursing combined with traditional Chinese medicine on lowering serum uric acid (UA) in diabetic patients. Methods A retrospective analysis of 94 cases of diabetic patients diagnosed and treated in Inner Mongolia University for Nationalities Hospital from January 2015 to December 2016 were divided into observation group and control group according to different treatment methods, 47 cases in each group. The patients in the control group were treated with routine nursing and Western medicine. The patients in the observation group were treated with the traditional Chinese medicine. Observed, recorded the treatment effect and UA level changes in two groups of patients. Results After treatment, the fasting blood glucose and 2-hour postprandial blood glucose in both groups were lower than those before treatment (P <0.05); after treatment, the fasting blood glucose in the observation group was lower than that in the control group, with significant difference ( P <0.05). After treatment, the levels of BUN, UA and creatinine in the observation group were significantly lower than those before treatment, the difference was statistically significant (P <0.05); before and after treatment in the control group There was no significant difference in BUN, UA and Cr levels between the two groups (P> 0.05). After treatment, the levels of each index in two groups were statistically significant (P <0.05); after treatment, the treatment group The effective rate (89.4%) was higher than that of the control group (72.3%), the difference was statistically significant (P <0.05). Conclusion Psychological nursing combined with traditional Chinese medicine treatment can effectively reduce the level of UA in diabetic patients and improve the therapeutic effect, which is worthy of clinical application.