CAJ | 학술논문

目的比较脊柱结核合并2型糖尿病患者在围手术期不同胰岛素给药方法的疗效并总结护理体会.方法对60例脊柱结核合并糖尿病拟行手术治疗的患者分为胰岛素泵治疗组(实验组)和每日多次皮下胰岛素注射组(对照组),比较两组间血糖控制及其时间、胰岛素用量、低血糖发生率、切口愈合等方面的差异,回顾总结护理措施.结果两组均能获得良好的血糖控制,实验组血糖控制优于对照组(P＜0.01),术前血糖控制时间、住院总天数及低血糖发生率均低于对照组(P＜0.01),两组切口感染率无明显差异;无一例发生术后并发症,均康复出院.结论胰岛素泵用于脊柱结核患者围手术期血糖控制比常规多次皮下注射系统疗效更为优越;做好术前心理护理、埋置胰岛素泵部位的皮肤护理、健康教育和术后血糖的监测、并发症的预防是保证疗效的护理关键.
목적 비교척주결핵합병2형당뇨병환자재위수술기불동이도소급약방법적료효병총결호리체회.방법 대60례척주결핵합병당뇨병의행수술치료적환자분위이도소빙치료조(실험조)화매일다차피하이도소주사조(대조조),비교량조간혈당공제급기시간、이도소용량、저혈당발생솔、절구유합등방면적차이,회고총결호리조시.결과 량조균능획득량호적혈당공제,실험조혈당공제우우대조조(P＜0.01),술전혈당공제시간、주원총천수급저혈당발생솔균저우대조조(P＜0.01),량조절구감염솔무명현차이;무일례발생술후병발증,균강복출원.결론 이도소빙용우척주결핵환자위수술기혈당공제비상규다차피하주사계통료효경위우월;주호술전심리호리、매치이도소빙부위적피부호리、건강교육화술후혈당적감측、병발증적예방시보증료효적호리관건.
Objective To compare the curative effect of the insulin with different routes of administration in spinal tuberculosis patients complicated with diabetics during perioperative period and to summarize nursing experience. Methods A total of 60 cases of spinal tuberculosis complicated with diabetics before surgical treatment were divided into two groups:experimental group treated with insulin pump and control group treated with insulin subcutaneous injection. The conditions of blood glucose, insulin dosage, incidence of hypoglycemia, wound healing were compared between two groups. Results Blood glucose in two groups were controlled well but experimental group was superior to control group. experimental group had lower incidence of hypoglycemia,fewer hospital stay than control group. Wound infection in two groups was similar and no one appeared complications. Conclusions In controlling blood glucose, the insulin pump is superior to insulin subcutaneous injection.Enhancing psychology nursing, skin nursing, health education, blood glucose monitoring and complication prevention can ensure therapeutic effectiveness.