中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
30期
162-162,164
,共2页
护理干预%糖皮质激素%2型糖尿病%并发症%血糖水平
護理榦預%糖皮質激素%2型糖尿病%併髮癥%血糖水平
호리간예%당피질격소%2형당뇨병%병발증%혈당수평
Nursing intervention%Glucocorticoids%Type 2 diabetes%Complications%Blood glucose levels
目的：探讨护理干预对糖皮质激素治疗2型糖尿病并发症的作用。方法：2013年11月-2014年9月收治2型糖尿病患者116例，随机分成干预组和对照组，各58例，两组患者均给予地塞米松、胰岛素静滴，同时给予降血压、抗血脂、抗感染治疗。对照组患者给予一般的护理。干预组进行护理干预。结果：两组空腹血糖分别为(13.6±5.8) mmol/L 和(13.5±5.7)mmol/L，两者比较差异无统计学意义(P＞0.05)，治疗后2 h 血糖分别为(9.4±2.2)mmol/L 和(11.9±2.8)mmol/L，治疗后6 h血糖分别为(6.1±0.7)mmol/L和(8.9±1.7)mmol/L，两组治疗后比较差异有统计学意义(P＜0.05)。干预组干预前胰岛素用量(0.61±0.3)IU/(kg·d)，干预后胰岛素用量(0.3±0.2)IU/(kg·d)，对照组护理前胰岛素用量(0.62±0.3)IU/(kg·d)，护理后胰岛素用量(0.6±0.3)IU/(kg·d)，两组患者干预前用量比较无统计学意义(P＞0.05)，护理后干预组明显低于对照组，两组比较差异有统计学意义(P＜0.05)。结论：加强护理干预可以提高糖皮质激素治疗2型糖尿病并发症的疗效，值得临床推广。
目的：探討護理榦預對糖皮質激素治療2型糖尿病併髮癥的作用。方法：2013年11月-2014年9月收治2型糖尿病患者116例，隨機分成榦預組和對照組，各58例，兩組患者均給予地塞米鬆、胰島素靜滴，同時給予降血壓、抗血脂、抗感染治療。對照組患者給予一般的護理。榦預組進行護理榦預。結果：兩組空腹血糖分彆為(13.6±5.8) mmol/L 和(13.5±5.7)mmol/L，兩者比較差異無統計學意義(P＞0.05)，治療後2 h 血糖分彆為(9.4±2.2)mmol/L 和(11.9±2.8)mmol/L，治療後6 h血糖分彆為(6.1±0.7)mmol/L和(8.9±1.7)mmol/L，兩組治療後比較差異有統計學意義(P＜0.05)。榦預組榦預前胰島素用量(0.61±0.3)IU/(kg·d)，榦預後胰島素用量(0.3±0.2)IU/(kg·d)，對照組護理前胰島素用量(0.62±0.3)IU/(kg·d)，護理後胰島素用量(0.6±0.3)IU/(kg·d)，兩組患者榦預前用量比較無統計學意義(P＞0.05)，護理後榦預組明顯低于對照組，兩組比較差異有統計學意義(P＜0.05)。結論：加彊護理榦預可以提高糖皮質激素治療2型糖尿病併髮癥的療效，值得臨床推廣。
목적：탐토호리간예대당피질격소치료2형당뇨병병발증적작용。방법：2013년11월-2014년9월수치2형당뇨병환자116례，수궤분성간예조화대조조，각58례，량조환자균급여지새미송、이도소정적，동시급여강혈압、항혈지、항감염치료。대조조환자급여일반적호리。간예조진행호리간예。결과：량조공복혈당분별위(13.6±5.8) mmol/L 화(13.5±5.7)mmol/L，량자비교차이무통계학의의(P＞0.05)，치료후2 h 혈당분별위(9.4±2.2)mmol/L 화(11.9±2.8)mmol/L，치료후6 h혈당분별위(6.1±0.7)mmol/L화(8.9±1.7)mmol/L，량조치료후비교차이유통계학의의(P＜0.05)。간예조간예전이도소용량(0.61±0.3)IU/(kg·d)，간예후이도소용량(0.3±0.2)IU/(kg·d)，대조조호리전이도소용량(0.62±0.3)IU/(kg·d)，호리후이도소용량(0.6±0.3)IU/(kg·d)，량조환자간예전용량비교무통계학의의(P＞0.05)，호리후간예조명현저우대조조，량조비교차이유통계학의의(P＜0.05)。결론：가강호리간예가이제고당피질격소치료2형당뇨병병발증적료효，치득림상추엄。
Objective:To discuss the function of nursing intervention in glucocorticoid treatment of type 2 diabetes complications. Methods:116 patients with type 2 diabetes were selected from November 2013 to September 2014,they were randomly divided into the intervention group and the control group with 58 cases in each,two groups of patients were given dexamethasone,insulin intravenous infusion,while giving lower blood pressure,anti-cholesterol,anti-infection treatment.The control group were treated with general care.The intervention group were treated with nursing intervention.Results:Two groups of fasting blood glucose were(13.6 ± 5.8)mmol/L and(13.5 ± 5.7)mmol/L,there was no statistical significance(P>0.05),after treatment,2h blood glucose were(9.4±2.2)mmol/L and(11.9±2.8)mmol/L,after 6h treatmentof blood glucose were(6.1±0.7)mmol/L and(8.9±1.7)mmol/L,the two groups after treatment were statistically significant(P<0.05),the intervention group before intervention insulin,the dosage of insulin was(0.61±0.3)IU/(kg·d),after the intervention,the dosage of insulin was(0.3±0.2)IU/(kg·d),the amount of insulin in the control group before treatment was(0.62±0.3)IU/(kg·d),the amount of insulin after treatment was(0.6±0.3)IU/(kg·d),the amount of insulin of the two groups before the intervention was not statistically significant(P>0.05),after the nursing,the intervention group was significantly lower than that of the control group,the two groups had statistical significance(P<0.05).Conclusion:To strengthen the nursing intervention can improve the therapeutic effect of glucocorticoid treatment of type 2 diabetes complications, it is worth promoting.
