CAJ | 학술논문

目的：探讨胰岛素泵强化治疗糖尿病合并肺结核患者的临床效果及其护理。方法对36例糖尿病合并肺结核患者进行胰岛素泵强化治疗，以及置泵、心理、饮食护理，比较治疗前后空腹血糖、餐后2h血糖以及痰菌转阴情况。结果36例糖尿病合并肺结核患者应用胰岛素泵强化治疗和护理后空腹血糖、餐后2h血糖以及痰菌转阴与治疗前比较，差异具有显著统计学意义(P<0.01)。结论糖尿病合并肺结核应用胰岛素泵强化治疗降糖效果良好，做好置泵、心理、饮食护理是保障疗效的关键。
목적：탐토이도소빙강화치료당뇨병합병폐결핵환자적림상효과급기호리。방법대36례당뇨병합병폐결핵환자진행이도소빙강화치료，이급치빙、심리、음식호리，비교치료전후공복혈당、찬후2h혈당이급담균전음정황。결과36례당뇨병합병폐결핵환자응용이도소빙강화치료화호리후공복혈당、찬후2h혈당이급담균전음여치료전비교，차이구유현저통계학의의(P<0.01)。결론당뇨병합병폐결핵응용이도소빙강화치료강당효과량호，주호치빙、심리、음식호리시보장료효적관건。
Objective To explore the clinical effect and nursing of diabetic patients with pulmonary tuberculosis by intensive treatment of insulin pump. Methods 36 cases of diabetic patients with pulmonary tuberculosis received intensive treatment of insulin pump, nursing of pump implantation, psychological and diet. The fasting blood glucose, postprandial 2 h blood glucose before and after treatment and sputum negative conversion were compared. Results Compared with pre-treatment, the fasting blood glucose, postprandial 2 h blood glucose and sputum negative conversion after treatment were statistically significantly different (P <0.01). Conclusions Insulin pump has better hypoglycemic effect in intensive treatment of diabetic patients with pulmonary tuberculosis. Pump implantation nursing, psychological nursing and diet nursing are keys to guarantee the efficacy.