首页|基于目标策略的针对性干预在糖尿病合并心肌病中的应用观察

基于目标策略的针对性干预在糖尿病合并心肌病中的应用观察

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目的:探讨基于目标策略的针对性干预在糖尿病心肌病(DCM)中的应用效果.方法:选取2021年5月—2022年6月开封市中医院收治的152例DCM患者作为研究对象,分为对照组(n=76,常规干预)和观察组(n=76,基于目标策略的针对性干预+常规干预).对比两组患者干预前后血糖、血脂水平,心功能指标和生活质量.结果:干预后,两组患者左室舒张末内径(LVEDD)、早期、晚期二尖瓣口血流速度(E/A)值均降低,观察组均低于对照组,左室射血分数(LVEF)均升高,观察组高于对照组,差异有统计学意义(t=1.720、2.815、3.140,P<0.05);干预后,两组患者心理功能、社会功能、躯体功能以及物质生活状况4个维度得分均升高且观察组均高于对照组,差异有统计学意义(t=2.951、2.648、2.873、2.025,P<0.05).结论:对DCM实施基于目标策略的针对性干预在血糖、血脂水平的降低、心功能改善及生活质量的提高方面均取得较好效果.
Application of Targeted Intervention Based on Goal Strategy in Diabetic Cardiomyopathy
Objective:To explore the effect of targeted intervention based on goal strategy in diabetic cardiomyopathy(DCM).Methods:152 patients with DCM from May 2021 to June 2022 were randomly divided into control group(n=76,conventional intervention)and observation group(n-76,targeted intervention based on target strategy+conventional intervention).Blood glucose,blood lipid,cardiac function indexes and quality of life were compared between the two groups before and after intervention.Results:After intervention,LVEDD and E/A in both groups were significantly lowered,the LVEDD and E/A in arthroscopic surgery group were significantly lower than in the control group,LVEF was increased in both groups,and the observation group was higher than the control group(t=1.720,2.815,3.140;P<0.05).After intervention,the scores of psychological function,social function,physical function and material life status in both groups were increased,and the scores in the observation group were higher than those in the control group(t=2.951,2.648,2.873,2.025;P<0.05).Conclusion:Targeted intervention based on target strategy for DCM has achieved good results in reducing blood glucose and blood lipid levels,improving cardiac function and improving quality of life.

Target strategyDiabetic cardiomyopathyBlood glucoseBlood lipidCardiac functionQuality of life

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开封市中医院综合内科,河南 开封 475000

目标策略 糖尿病心肌病 血糖 血脂 心功能 生活质量

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(20)