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目的:调查我院老年2型糖尿病患者的血糖控制情况,并分析进行强化教育对血糖控制的影响。方法:收集在我院门诊及住院诊疗的老年2型糖尿病患者,以Hb A1c<7%为标准,分析我院老年2型糖尿病患者的血糖控制情况;将病例随机分配为实验组(n=50)和对照组(n=50),实验组进行糖尿病强化教育,对照组进行常规糖尿病教育,3个月后比较两组的患者的血糖控制及低血糖发生次数。结果:我院老年2型糖尿病患者的达标率为40.4%,3个月后,实验组患者的Hb A1c达标率均显著高于对照组(62.0%vs 40.0%,P<0.05),而低血糖的发生次数显著低于对照组(3 vs 5,P<0.05)。结论:我院老年2型糖尿病患者血糖控制达标率低,强化教育可以改善部分糖尿病2型糖尿病患者的血糖控制情况,并减少低血糖的发生。
Objective: To investigate the glycemic control in elderly patients with type 2 diabetes mellitus in our hospital and to analyze the effect of intensive education on glycemic control. Methods: The elderly patients with type 2 diabetes mellitus were collected from outpatients and inpatients in our hospital. The control of blood glucose in elderly patients with type 2 diabetes mellitus (Hb A1c <7%) was analyzed. The patients were randomly assigned to experimental group (n = 50) ) And control group (n = 50). The experimental group was given intensive diabetes education. The control group was given conventional diabetes education. The level of blood sugar control and hypoglycemia were compared between the two groups after 3 months. Results: In our hospital, the compliance rate of type 2 diabetes mellitus was 40.4%. After 3 months, the compliance rate of Hb A1c in experimental group was significantly higher than that in control group (62.0% vs 40.0%, P <0.05) The occurrence frequency was significantly lower than that of the control group (3 vs 5, P <0.05). Conclusion: In our hospital, type 2 diabetes mellitus patients with low blood glucose control compliance rate, intensive education can improve blood glucose control in some patients with type 2 diabetes mellitus and reduce the incidence of hypoglycemia.