护理干预对糖皮质激素治疗2型糖尿病并发症的作用

The function of nursing intervention in glucocorticoid treatment of type 2 diabetes complications

目的:探讨护理干预对糖皮质激素治疗2型糖尿病并发症的作用。方法:2013年11月-2014年9月收治2型糖尿病患者116例,随机分成干预组和对照组,各58例,两组患者均给予地塞米松、胰岛素静滴,同时给予降血压、抗血脂、抗感染治疗。对照组患者给予一般的护理。干预组进行护理干预。结果:两组空腹血糖分别为(13.6±5.8)mmol/L和(13.5±5.7)mmol/L,两者比较差异无统计学意义(P>0.05),治疗后2 h血糖分别为(9.4±2.2)mmol/L和(11.9±2.8)mmol/L,治疗后6 h血糖分别为(6.1±0.7)mmol/L和(8.9±1.7)mmol/L,两组治疗后比较差异有统计学意义(P<0.05)。干预组干预前胰岛素用量(0.61±0.3)IU/(kg·d),干预后胰岛素用量(0.3±0.2)IU/(kg·d),对照组护理前胰岛素用量(0.62±0.3)IU/(kg·d),护理后胰岛素用量(0.6±0.3)IU/(kg·d),两组患者干预前用量比较无统计学意义(P>0.05),护理后干预组明显低于对照组,两组比较差异有统计学意义(P<0.05)。结论:加强护理干预可以提高糖皮质激素治疗2型糖尿病并发症的疗效,值得临床推广。

Objective:To discuss the function of nursing intervention in glucocorticoid treatment of type 2 diabetes complications.Methods:116 patients with type 2 diabetes were selected from November 2013 to September 2014,they were randomly divided into the intervention group and the control group with 58 cases in each,two groups of patients were given dexamethasone,insulin intravenous infusion,while giving lower blood pressure,anti-cholesterol,anti-infection treatment.The control group were treated with general care.The intervention group were treated with nursing intervention.Results:Two groups of fasting blood glucose were(13.6 ± 5.8)mmol/L and(13.5 ± 5.7)mmol/L,there was no statistical significance(P>0.05),after treatment,2h blood glucose were(9.4±2.2)mmol/L and(11.9±2.8)mmol/L,after 6h treatmentof blood glucose were(6.1±0.7)mmol/L and(8.9±1.7)mmol/L,the two groups after treatment were statistically significant(P<0.05),the intervention group before intervention insulin,the dosage of insulin was(0.61±0.3)IU/(kg·d),after the intervention,the dosage of insulin was(0.3±0.2)IU/(kg·d),the amount of insulin in the control group before treatment was(0.62±0.3)IU/(kg·d),the amount of insulin after treatment was(0.6±0.3)IU/(kg·d),the amount of insulin of the two groups before the intervention was not statistically significant(P>0.05),after the nursing,the intervention group was significantly lower than that of the control group,the two groups had statistical significance(P<0.05).Conclusion:To strengthen the nursing intervention can improve the therapeutic effect of glucocorticoid treatment of type 2 diabetes complications,it is worth promoting.