护理干预对糖尿病合并急性心肌梗死患者便秘的影响

Effects of constipation of patients with daibetes mellitus combined with acute myocardial infarction by nursing intervention

目的：探讨护理干预对糖尿病合并急性心肌梗死（ AMI）患者便秘的影响。方法：选择糖尿病合并AMI患者68例，随机分为观察组和对照组，各34例，对照组采用常规护理，观察组在对照组基础上根据患者病情及治疗情况进行评估采用针对性护理，比较2组患者入院时及治疗后8周后的排便情况及死亡率情况。结果：入院时观察组与对照组比较，大便通畅率及排便异常率无明显差异（P＞0．05）。观察组患者在护理8天后大便通畅率、排便异常率、死亡率明显低于对照组（P＜0．05）。结论：充分评估糖尿病合并AMI患者病情及治疗情况后给予针对性护理，可有效降低便秘的发生率，改善生存质量，降低死亡率，值得临床借鉴。

Objetcive：To investigate the effects of constipation of patients with diabetes mellitus combined with acute myocardial in -farction（AMI） by nursing intervention.Methods：68 patients with diabetes mellitus combined with AMI ,they were randomly divided into observation group（n=34）and control group（n=34）.control group was given routine nursing,.According to patient＇s condition and treatment,observation group were assessed and given specific nursing .The defecation at admission and 8weeks after treatment ,the mortali-ty were compared between two groups.Results：The stool patency rate and abnormal rate of defecation had no obvious differences between observation group and control group （P〈0.05）, At 8 days after nursing ,the stool patency rate and abnormal rate of defecation and mor-tality in observation group were obviously lower than those in control group（P〈0.05）.Conclusion： After fully assessing disease and treatment of patients with diabetes mellitus combined with AMI, they were given specific nursing ,it is effectively reduce the incidence of constipation, improve the living quality, reduce mortality rate, it is worthy of clinical reference.