糖尿病肾病中西医结合个性化康复护理的应用

Application of Individualized Rehabilitation Nursing in Diabetic Nephropathy With Integrated Traditional Chinese and Western Medicine

目的探讨采用中西医结合个性化康复护理方式对糖尿病肾病患者进行干预后获得临床效果。方法选取2018年1月1日—2020年12月31日收治的80例糖尿病肾病患者进行疾病护理研究;随机分为传统护理组(常规护理)和中西医护理组(常规护理+中西医结合个性化康复护理),各40例;比较两组患者生化指标、血压指标、血糖指标。结果护理前,中西医护理组三酰甘油(2.69±0.65)mmol/L、总胆固醇(6.79±1.59)mmol/L、24 h尿微量白蛋白(153.11±7.09)mg、24 h尿蛋白定量(2.49±0.25)g同传统护理组比较,差异无统计学意义(P> 0.05);护理后,中西医护理组三酰甘油(1.59±0.25)mmol/L、总胆固醇(5.03±0.79)mmol/L、24 h尿微量白蛋白(114.69±6.35)mg、24 h尿蛋白定量(1.25±0.59)g均低于传统护理组(P <0.05);护理前,中西医护理组舒张压(97.02±6.13)mmHg、收缩压(162.03±11.25)mmHg同传统护理组比较,差异无统计学意义(P> 0.05);护理后,中西医护理组舒张压(80.25±5.69)mmHg、收缩压(131.13±8.02)mmHg低于传统护理组(P <0.05);护理前,中西医护理组空腹血糖(8.59±1.69)mmol/L、餐后2 h血糖(15.29±2.69)mmol/L、糖化血红蛋白(7.68±0.79)%同传统护理组比较,差异无统计学意义(P> 0.05);护理后,中西医护理组空腹血糖(6.02±0.79)mmol/L、餐后2 h血糖(9.13±0.79)mmol/L、糖化血红蛋白(6.13±0.59)%低于传统护理组(P <0.05)。结论中西医结合个性化康复护理方式应用后,观察生化指标、血压指标、血糖指标均获得改善,可促进糖尿病肾病患者预后能力提升。

Objective To explore the use of integrated traditional Chinese and western medicine personalized rehabilitation nursing for diabetic nephropathy patients after the intervention to obtain clinical effects. Methods 80 cases of diabetic nephropathy patients admitted from January 1, 2018 to December 31, 2020 were selected for the study of disease nursing;they were randomly divided into traditional nursing group(routine nursing) and traditional Chinese and Western medicine nursing group(routine nursing + personalized rehabilitation nursing with integrated Chinese and Western medicine), with 40 cases in each group. Biochemical indexes, blood pressure indexes and blood glucose indexes were compared between the two groups. Results Before nursing, compared with traditional nursing group, there were no significant differences in triacylglycerol(2.69±0.65) mmol/L, total cholesterol(6.79±1.59) mmol/L, 24 h urine microalbumin(153.11±7.09) mg and 24 h urine protein(2.49±0.25) g in TCM and western nursing group(P > 0.05). After nursing, triacylglycerol(1.59±0.25) mmol/L, total cholesterol(5.03±0.79) mmol/L, 24 h urine microalbumin(114.69±6.35) mg and 24 h urine protein(1.25±0.59) g in TCM and western medicine nursing group were lower than those in traditional nursing group(P < 0.05). Before nursing, the diastolic blood pressure(97.02±6.13) mmHg and systolic blood pressure(162.03±11.25) mmHg in the TCM and western nursing group were not significantly different from those in the traditional nursing group(P > 0.05). After nursing, diastolic blood pressure(80.25±5.69) mmHg and systolic blood pressure(131.13±8.02) mmHg in TCM and Western medicine nursing group were lower than those in traditional nursing group(P < 0.05). Before nursing, there was no significant difference in fasting blood glucose(8.59±1.69) mmol/L, postprandial 2 h blood glucose(15.29±2.69) mmol/L, and glycated hemoglobin(7.68±0.79) % in the TCM and western nursing group compared with the traditional nursing group(P > 0.05). After nursing, fasting blood glucose(6.02±0.79) mmol/L, postprandial 2 h blood glucose(9.13±0.79) mmol/L and A1 c(6.13±0.59)% in TCM and Western medicine nursing group were lower than those in traditional nursing group(P < 0.05). Conclusion After the application of personalized rehabilitation nursing of integrated traditional Chinese and western medicine, biochemical indexes, blood pressure indexes and blood glucose indexes are significantly improved, which can promote the prognostic ability of diabetic nephropathy patients.