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神经内科护理在脑卒中伴2型糖尿病患者中的应用效果

Effect of Neurology Nursing in Patients with Cerebral Apoplexy and Type 2 Diabetes Mellitus
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摘要 目的:探讨神经内科护理在脑卒中(CA)伴2型糖尿病(T2DM)患者中的护理效果。方法:选取2021年3月—2023年2月吉林大学中日联谊医院收治的80例CA伴T2DM患者为研究对象,采用奇偶法分为对照组和观察组,各40例。对照组采用常规护理,观察组在对照组基础上采用神经内科护理。对比两组血糖指标、心理状态、肢体功能、生活能力、神经功能缺损情况。结果:护理后,两组空腹血糖、糖化血红蛋白、餐后2 h血糖水平及汉密尔顿抑郁量表、汉密尔顿焦虑量表评分降低,尿微量白蛋白水平升高,观察组均优于对照组(P<0.05);护理后,两组Fugl-Meyer运动功能评分量表、功能独立性评定量表评分降低,观察组低于对照组(P<0.05);护理后,两组意识、面瘫、共济失调、构音障碍、感觉评分降低,观察组低于对照组(P<0.05)。结论:神经内科护理可以降低CA伴T2DM患者的血糖水平,减轻焦虑、抑郁,改善肢体功能、神经功能,提高自理能力。 Objective:To investigate the nursing effect of neurology in patients with cerebral apoplexy(CA)and type 2 diabetes mellitus(T2DM).Methods:A total of eighty patients with CA and T2DM treated in China-Japan Friendship Hospital of Jilin University from March 2021 to February 2023 were selected as the study objects,and were divided into control group and observation group by odd-even method,with forty cases in each group.The control group received routine nursing,and the observation group received neurology nursing on the basis of the control group.Blood glucose index,mental state,limb function,life ability and nerve function defect were compared between the two groups.Results:After nursing,fasting blood glucose,glycated hemoglobin,2 h postmeal blood glucose levels,Hamilton Depression Scale and Hamilton Anxiety Scale scores were decreased in both groups,and urinary microalbumin levels were increased,and the observation group was better than the control group(P<0.05);after nursing,Fugl-Meyer Assessment Scale and Functional Independence Measure Scale scores of both groups were decreased,and the observation group was lower than the control group(P<0.05);after nursing,the scores of consciousness,facial palsy,ataxia,dysarthria and sensation were decreased in both groups,and the observation group was lower than the control group(P<0.05).Conclusion:Neurology nursing can reduce the blood glucose level in CA patients with T2DM,relieve anxiety and depression,improve limb function and nervous function,and improve self-care ability.
作者 胥洪冰 刘柏秋 Xu Hongbing;Liu Baiqiu(China-Japan Friendship Hospital of Jilin University,Changchun 130000,Jilin Province,China)
出处 《中外医药研究》 2024年第28期113-115,共3页 JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词 脑卒中 糖尿病 神经内科护理 肢体功能 神经功能缺损 Cerebral apoplexy Diabetes mellitus Neurology nursing Limb function Neurological impairment
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