集束化护理对糖尿病周围神经病理性疼痛患者血糖及肾功能的影响

Effect of bundle care on blood glucose and renal function in patients with diabetic peripheral neuropathic pain

目的探讨集束化护理对糖尿病周围神经病变病理性疼痛(DPNP)患者血糖及肾功能的影响。方法选取济宁市第一人民医院内分泌科2020年12月至2021年5月收治的DPNP患者80例,采用随机数字表分为对照组和观察组各40例。对照组采用常规护理,观察组在对照组的基础上针对病理性疼痛采用集束化护理。比较两组干预前后的疼痛、血糖及肾功能情况。结果观察组干预后的神经病理性疼痛DN4量表评分低于对照组,差异有统计学意义(P<0.05)。观察组干预后的空腹血糖、糖化血红蛋白低于对照组,差异均有统计学意义(均P<0.05)。观察组干预后的微量白蛋白肌酐比值(UACR)、24 h尿微量白蛋白排泄(UME)低于对照组,差异均有统计学意义(均P<0.05)。结论集束化护理能够降低DPNP患者的疼痛程度,可能与其改善了血糖及UACR、UME水平有关。

Objective To explore the effect of bundle care on blood glucose and renal function in patients with diabetic peripheral neuropathic pain(DPNP).Methods A total of 80 DPNP patients admitted to this department from December 2020 to May 2021 were selected and divided into control group and observation group with 40 cases in each group by random number table.The control group received conventional nursing,while the observation group received bundle care for pathological pain on the basis of the control group.The pain,blood glucose and renal function of the two groups were compared before and after intervention.Results The DN4 scale score of neuropathic pain in the observation group after intervention was lower than that in the control group,and the difference was statistically significant(P<0.05).After intervention,fasting blood glucose and HbA1c in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The UACR and 24 hours urine microalbumin excretion(UME)in the observation group were lower than those in the control group after intervention,and the differences were statistically significant(P<0.05).Conclusions Bundle care can reduce the pain of DPNP patients,which may be related to the improvement of blood glucose,UACR and UME.