Effectiveness of a combination of measures based on venous thromboembolism (VTE) risk scoresfor interventions to prevent medical inpatient hospitalisation in elderly type 2 diabetic patients
基于静脉血栓栓塞症(VTE)风险评分的综合措施干预预防高龄2型糖尿病内科住院患者的应用效果

摘要

目的 探析基于静脉血栓栓塞症（VTE）风险评分的综合措施干预预防高龄2型糖尿病内科住院患者的应用效果。方法 回顾性分析2018年6月～2019年9月本院老年内科住院的相关的100例糖尿病患者为研究对象，根据患者不同年龄段分类，每组50例，参照组采取常规的护理方案,研究组采取根据VTE风险评估的针对性护理措施。干预2周后，比较两组患者的Padua评分和血糖水平。结果 研究组患者的Padua评分明显低于参照组患者，差异有统计学意义（P＜0.05）。研究组患者的空腹血糖和餐后2小时血糖水平也明显低于参照组患者（P＜0.05）。结论 基于VTE风险评分的针对性干预能够明显降低高龄2型糖尿病内科住院患者的VTE发生风险，改善血糖水平，这一措施具有重要的临床应用价值。

Abstract

Objective To explore the application effect of comprehensive measures based on the risk score of venous thromboembolism (VTE) intervention to prevent inpatients of elderly type 2 diabetes.
Methods Retrospective analysis of 100 patients with diabetes hospitalized in the geriatric department of our hospital from June 2018 to September 2019 as the research object. According to the different age groups of patients, 50 cases in each group were classified. The reference group adopted a conventional nursing plan, and the research group adopted targeted care according to VTE risk assessment. Reasoning measures. After 2 weeks of intervention, the Padua score and blood sugar level of the two groups were compared.
Results The Padua score of the patients in the study group is significantly lower than that of the patients in the reference group, and the difference is statistically significant (P<0.05). The fasting blood glucose and 2 hours after meals of the patients in the study group were also significantly lower than those of the patients in the reference group (P<0.05).
Conclusion   Targeted intervention based on VTE risk score can significantly reduce the risk of VTE inpatients with advanced type 2 diabetes and improve blood sugar levels. This measure has important clinical application value.