甲状腺功能亢进症合并糖尿病58例护理体会

Nursing Experience for 58 Patients Suffering from Hyperthyroidism Complicated with Diabetes Mellitus

目的:探讨甲状腺功能亢进症合并糖尿病的护理方法。方法:将116例患者随机分为对照组与观察组各58例。对照组采用常规护理干预,观察组在此基础上给予中西医结合护理干预。比较2组护理干预前后甲状腺功能相关指标、血糖相关指标及护理后生活质量评分情况。结果:观察组护理后三碘甲状腺原氨酸(T3)、四碘甲状腺原氨酸(T4)及促甲状腺激素(TSH)水平均显著低于治疗前及对照组治疗后(P<0.05);观察组护理后空腹血糖(FPG)及糖化血红蛋白(Hb Alc)水平均显著低于护理前及对照组护理后(P<0.05);护理干预后患者生活质量各维度评分观察组均显著高于对照组护理后(P<0.05)。结论:中西医结合护理有助甲状腺功能亢进症合并糖尿病患者的康复。

Objective： To explore nursing methods for the patients suffering from hyperthyroidism complicated with diabetes mellitus. Methods： All 116 patients were randomly allocated to the control group and the observation group, 58 cases each group. The control group adopted routine nursing intervention, the observation group nursing intervention of integrative medicine on this base. Related indexes of thyroid function and the indexes of blood glucose were compared between before and after nursing as well as life quality scales after nursing. Results： The levels of T3, T4 and TSH after nursing were lower than these before nursing in the observation group, lower than the control group after nursing notably（P〈0.05）; the levels of FPG and HbAlc after nursing were lower than these before nursing in the observation group, lower than these of the control group after nursing（P〈0.05）; the observation group was higher than the control group after nursing in different dimensional scales of life quality（P〈0.05）. Conclusion：Integrative method is helpful to the recovery of the patients suffering from hyperthyroidism complicated with diabetes mellitus.