脑梗死危险因素与糖尿病的相关性研究中的护理配合

The Nursing Care in the Correlation Study between the Risk Factors for Cerebral Infarction and Diabetes Mellitus

目的:通过回顾性病例一对照研究,分析脑梗死危险因素与糖尿病的相关性以及在研究过程中的护理配合。方法:选择在我院出院诊断为糖尿病患者632例,以合并脑梗死者86例作为病例组,无合并脑梗死者546例作为对照组,比较两组间危险因素的差异及在比较过程中的护理配合。结果:多因素Logistic分析显示,吸烟、暴饮暴食、高血压病史、冠心病史、用药不规则、血糖控制欠佳、TG≥2.6mmol/L、LDL-C≥3.36mmol/L、HDL-C≤0.91mmol/L、缺乏健康教育、无出院随访是糖尿病合并脑梗死的危险因素,而在研究过程中,护理配合得当也是十分重要的。结论:为了控制糖尿病合并脑梗死应该提倡戒烟、控制饮食、控制血压及血糖,调控血脂水平,做好出院时的健康教育及出院随访工作。

Objective： To explore the correlation between the risk factors for cerebral infarction and diabetes mellitus and to explore the nursing care in the study. Methods：A total of 632 patients with DM was collected from our hospital. Two groups were divided, that＇s the group of the patients with cerebral infarction（86 cases） and the group of the patients without cerebral infarction（546 cases）. The risk factors for cerebral infarction were compared and the effect of nursing care on them was studied. ResultstIn multivarcate analysis , smoking , drinking , hypertension,coronary heart disease , abnormity use of drugs , lack of well control of blood sugar , TG≥2.6mmol/L , LDL-C≥3.36mmol/L , HDL-C≤0. 91mmol/L , lack of health education and follow--up were the risk factors for Type 2 diabetes mellitus patients with cerebral infarction. In addition,the nursing care is important. Conclusions：To prevent cerebral inflarction among type 2 DM measures need to as control the above factors .