护理干预在糖尿病患者胰岛素泵强化治疗中的应用价值

王蓉

（西安市中医医院，陕西 西安，710021）

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摘要：

目的 探讨护理干预在糖尿病患者胰岛素泵强化治疗中的应用效果。方法 收集2016年3月至2017年3月就诊于我院内分泌科病情严重需用胰岛素泵入治疗的糖尿病患者80例，按随机数字法将其分为对照组与观察组，每组40例。对照组给予常规护理，观察组在此基础上给予护理干预。记录两组患者在住院期间的血糖变化情况、血糖达标天数及低血糖发生情 况。结果 观察组患者血糖达标天数为（8.56±1.26）d，明显高于对照组的（7.38±2.13）d，差异有统计学意义（P<0.05）；护理干预前，两组患者的空腹血糖、餐后2 h 血糖比较，无显著差异（P>0.05）；护理干预后，两组患者的空腹血糖、餐后2 h 血糖均明显低于治疗前，且观察组明显低于对照组，差异均有统计学意义（P<0.05）；观察组患者的低血糖发生率为2.50%，明显低于对照 组患者的20.00%，差异有统计学意义（P<0.05）。结论 护理干预能够提高糖尿病患者胰岛素泵治疗效果，值得临床应用。

关键词：护理干预；糖尿病；胰岛素泵

中图分类号：R473.5文献标志码：A文章编号：2096-1413(2017)19-0157-02

Application value of nursing intervention in intensive treatment of diabetes mellitus patients with insulin pump
WANG Rong
(Xi``an Traditional Chinese Medicine Hospital, Xi``an 710021, China)

ABSTRACT: Objective To explore the effect of nursing intervention in intensive treatment of diabetes mellitus patients with insulin pump. Methods Eighty cases of patients with diabetes admitted and treated in our hospital from March 2016 to March 2017 were selected and divided into control group and observation group according to the random table method, with 40 cases in each group. The control group was given routine nursing, and the observation group was given nursing intervention on the basis of the control group. The changes of blood glucose, blood glucose standard days and hypoglycemia in the two groups during hospitalization were recorded. Results The blood glucose standard days in the observation group was (8.56±1.26) d, which was significantly higher than (7.38±2.13) d in the control group, the difference was statistically significant (P<0.05). Before nursing intervention, there were no significant differences between the two groups in the fasting blood glucose and 2 h postprandial blood glucose levels (P>0.05). After the nursing intervention, the fasting blood glucose and 2
h postprandial blood glucose levels of the two groups were significantly lower than those before treatment, and the observation group was significantly lower than the control group, the differences were statistically significant (P<0.05). The incidence of hypoglycemia in the observation group was 2.50%, which was significantly lower than 20.00% in the control group, the difference was statistically significant (P<0.05). Conclusion Nursing intervention can improve the effect of insulin pimp treatment in patients with diabetes mellitus, which is worthy of clinical application.
KEYWORDS: nursing intervention; diabetes mellitus; insulin pump

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