糖尿病合并肺结核应用胰岛素泵强化治疗的护理

Nursing of Diabetic Patients with Pulmonary Tuberculosis by Intensive Treatment of Insulin Pump

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2 h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2 h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。

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 conversionafter 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.