综合护理在持续皮下注射胰岛素治疗小儿糖尿病中的价值分析

Analysis of the Value of Comprehensive Nursing in the Treatment of Infantile Diabetes by Continuous Subcutaneous Insulin Injection

目的探析综合护理在持续皮下注射胰岛素治疗小儿糖尿病中的应用意义。方法选取该院2019年11月—2020年11月收治的80例糖尿病患儿开展研究,患儿均开展皮下注射胰岛素治疗,按随机数表法分组,采取常规护理的40例患儿为对照组;采取综合护理的40例患儿为观察组。完成干预后对比组间血糖、血脂、血糖达标时间、尿酮消失时间、低血糖发生率。结果干预前组间血糖指标(GHb、2 hPG、FPG)对比,差异无统计学意义(P>0.05);干预后观察组上述指标依次为(5.41±0.70)%、(6.20±1.22)mmol/L、(5.62±0.78)mmol/L,均低于对照组的(6.88±0.43)%、(7.98±1.50)mmol/L、(8.28±0.99)mmol/L,差异有统计学意义(t=11.317、5.822、13.348,P<0.001)。干预前组间血脂指标(TG、LDL-C、HDL-C)对比,差异无统计学意义(P>0.05);干预后观察组TG、LDL-C依次为(1.22±0.31)、(2.44±0.45)mmol/L,均低于对照组的(1.93±0.62)、(2.77±0.50)mmol/L,差异有统计学意义(t=6.478、3.103,P<0.001);观察组HDL-C为(1.80±0.50)mmol/L,高于对照组的(1.44±0.51)mmol/L,差异有统计学意义(t=3.188,P=0.002)。观察组血糖达标时间、尿酮消失时间依次为(5.02±0.24)、(3.50±1.81)d,短于对照组的(8.14±1.56)、(6.30±2.25)d,差异有统计学意义(t=12.502、6.133,P<0.001);低血糖发生率为2.5%,低于对照组的20.0%,差异有统计学意义(χ^(2)=6.135,P<0.05)。结论对糖尿病患儿开展持续皮下注射胰岛素治疗的同时开展综合护理,对患儿血糖、血脂改善有积极影响。

Objective To explore the significance of comprehensive nursing in continuous subcutaneous insulin injection in the treatment of children with diabetes.Methods A study was conducted on 80 children with diabetes who were admitted to the hospital from November 2019 to November 2020.The children were treated with subcutaneous insulin injections and were grouped according to the random number table method.40 children with routine care were used as the control group.40 children who took comprehensive care were the observation group.After the intervention was completed,the blood glucose,blood lipids,blood glucose reaching standard time,urine ketone disappearing time,and incidence of hypoglycemia were compared between the groups.Results There was no statistically significant difference in blood glucose index(GHb,2 hPG,FPG)between the groups before intervention(P>0.05).After the intervention,the above indicators in the observation group were(5.41±0.70)%,(6.20±1.22)mmol/L,and(5.62±0.78)mmol/L,all lower than the control group(6.88±0.43)%,(7.98±1.50)mmol/L,(8.28±0.99)mmol/L,the difference was statistically significant(t=11.317,5.822,13.348,P<0.001).There was no statistically significant difference in blood lipid indexes(TG,LDL-C,HDL-C)between the groups before intervention(P>0.05).After the intervention,TG and LDL-C in the observation group were(1.22±0.31)mmol/L and(2.44±0.45)mmol/L in sequence,lower than those of the control group(1.93±0.62)mmol/L and(2.77±0.50)mmol/L,the difference was statistically significant(t=6.478,3.103,P<0.001).The HDL-C of the observation group was(1.80±0.50)mmol/L,which was higher than that of the control group(1.44±0.51)mmol/L,and the difference was statistically significant(t=3.188,P=0.002).In the observation group,the time to reach the standard of blood glucose and the disappearance of urine ketone were(5.02±0.24)d and(3.50±1.81)d,shorter than the control group(8.14±1.56)d,(6.30±2.25)d,the difference was statistically significant(t=12.502,6.133,P<0.001).The hypoglycemia rate was 2.5%lower than that of the control group 20.0%,and the difference was statistically significant(χ^(2)=6.135,P<0.05).Conclusion Carrying out continuous subcutaneous insulin injection and comprehensive nursing care for children with diabetes has a positive effect on the improvement of blood sugar and blood lipids in children.