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目的:探讨微量泵静脉注射胰岛素强化治疗糖尿病患者的临床护理措施及效果。方法:选取2012年9月-2014年9月大理州巍山县人民医院采用微量泵静脉注射胰岛素强化治疗的35例糖尿病患者进行回顾性分析,随机分为观察组和对照组。观察组采取病情评估、心理护理、饮食护理、置泵护理等全方位护理措施进行护理;对照组采取常规护理,比较两组患者治疗前后的糖化血红蛋白变化、低血糖发生率及临床护理效果。结果:护理后,两组患者的糖化血红蛋白水平均照护理前显著降低,观察组的降低水平明显高于对照组,差异有统计学意义(P<0.05);观察组的血糖达标时间和低血糖发生率均明显低于对照组,组间差异有统计学意义(P<0.05);观察组患者的显效率、总有效率均显著优于对照组,差异具有统计学意义(P<0.05)。结论:微量泵静脉注射胰岛素可有效控制血糖减少并发症的发生,提高患者的生活质量。
Objective: To investigate the clinical nursing measures and effects of intravenous injection of insulin in diabetic patients with micropumps. Methods: From September 2012 to September 2014, Weishan County People’s Hospital of Dali, Guizhou, 35 cases of diabetes mellitus treated with intravenous insulin injections were retrospectively analyzed and randomly divided into observation group and control group. The observation group was treated with omnibearing nursing measures such as condition assessment, psychological nursing, dietary nursing and home pump nursing. The control group was given routine nursing care. The changes of HbA1c, the incidence of hypoglycemia and the clinical nursing effect were compared between the two groups before and after treatment. Results: After the nursing, the levels of HbA1c in both groups decreased significantly as compared with that before the treatment, the level of decrease in the observation group was significantly higher than that in the control group (P <0.05); the observation group’s blood glucose time and hypoglycemia (P <0.05). The effective rate and total effective rate of the observation group were significantly better than the control group, the difference was statistically significant (P <0.05). Conclusion: Intravenous injection of insulin with trace pump can effectively control the incidence of complications of blood glucose and improve the quality of life of patients.