肺癌合并糖尿病发生急性呼吸衰竭的急救护理

Emergency Nursing of Lung Cancer with Diabetes Mellitus with Acute Respiratory Failure

目的探讨肺癌合并糖尿病急性呼吸衰竭患者的有效急救护理措施及其实施效果。方法从2018年10月—2019年12月阶段在该院接诊的肺癌合并糖尿病急性呼吸衰竭患者中选取68例,以上对象随机分组,包括观察组(n=34)和对照组(n=34)。对照组患者给予鼻导管吸氧、胰岛素控制血糖及相关治疗配合性护理,观察组则给予针对性护理干预。结果经护理干预后,观察组患者的p H值、PaO2值、PaCO2值均显著优于对照组,比较差异有统计学意义(P<0.05);观察组患者的空腹血糖值、餐后2 h血糖值,均显著低于对照组,比较差异有统计学意义(P<0.05)。结论在肺癌合并糖尿病急性呼吸衰竭患者实施救治期间,给予针对性护理干预,能够帮助患者更加有效地改善其血气分析结果,并利于患者获得理想的血糖控制效果,这对于改善患者的急救效果均具有显著的促进作用。

Objective To explore the effective first-aid nursing measures and the implementation effect of lung cancer patients with diabetes acute respiratory failure.Methods From October 2018 to December 2019,68 patients with lung cancer and diabetic acute respiratory failure were randomly divided into observation group(n=34)and control group(n=34).The patients in the control group were given nasal catheter oxygen inhalation,insulin control of blood glucose and related treatment coordination nursing,while those in the observation group were given targeted nursing intervention.Results After nursing intervention,the p H value,PaO2 value and PaCO2 value of the observation group were significantly better than those of the control group,the difference was statistically significant(P<0.05),and the fasting blood glucose value and 2 hours postprandial blood glucose value of the observation group were significantly lower than those of the control group,the difference was statistically significant(P<0.05).Conclusion During the treatment of lung cancer patients with diabetic acute respiratory failure,giving targeted nursing intervention can help patients to improve their blood gas analysis results more effectively,and help patients to obtain ideal blood glucose control effect,which has a significant role in improving the first-aid effect of patients.