糖尿病伴肺癌上腔静脉综合征患者化疗的护理体会

Nursing Experience of Chemotherapy of Patients with Diabetes with Lung Cancer Superior Vena Cava Syndrome

目的观察对于糖尿病伴肺癌上腔静脉综合征化疗患者的护理体会。方法将在该院胸科就诊2016年1月—2018年1月收治以糖尿病伴肺癌上腔综合征化疗的患者89例,给予针对性的护理干预,分析患者护理前、后患者血气、肺功能水平,护理前后空腹血糖、餐后2 h血糖水平及不良反应对照。结果护理后患者各项血气功能及肺部功能水平相比明显优于护理前,且经护理后血糖控制达标率为86.52%,不良反应发生率为4.49%,差异有统计学意义(P<0.05)。结论对于糖尿病伴肺癌上腔静脉综合征患者而言,采取有效的护理干预,可明显改善患者血气、肺部功能,平稳血糖,并降低化疗并发症的发生,效果理想。

Objective To observe the nursing experience of chemotherapy of patients with diabetes with lung cancer superior vena cava syndrome. Methods 89 cases of patients with diabetes with lung cancer superior vena cava syndrome admitted and treated in our hospital from January 2016 to January 2018 were selected, used the targeted nursing intervention, and the blood gas, and lung function level before and after nursing were analyzed, and the fasting blood glucose, postprandial 2 h blood glucose level and adverse reactions were compared before and after nursing. Results After nursing, various blood gas functions and lung function levels were obviously better than those before nursing, and the blood glucose control standards- reaching rate after nursing and incidence rate of adverse reactions were respectively 86.52% and 4.49%, and the differences were statistically significant（P〈0.05）. Conclusion The effective nursing intervention in patients with diabetes with lung cancer superior vena cava syndrome can obviously improve the blood gas and lung function of patients, stabilize the blood glucose and reduce the occurrence of chemotherapy complications, and the effect is ideal.