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目的:探讨青年糖尿病合并脑梗死病人的血糖综合管理的效果。方法:选取2014年7月~2016年7月收治的106例青年糖尿病合并脑梗死患者进行护理干预,根据干预方法不同分为试验组和对照组各53例,对照组采用常规护理,试验组在对照组的基础上进行综合管理,干预3个月,观察两组患者的功能缺损评分(NIHSS评分)和SF-36的生活质量评分及超敏C-反应蛋白(hs-CRP)、神经元特异性烯醇酶(NSF)、血糖水平。结果:试验组的干预后NIHSS评分明显低于干预后的对照组,差异具有统计学意义(P<0.05);试验组的生活质量评分明显高于对照组,差异具有统计学意义(P<0.05);试验组的hs-CRP、NSF及血糖水平均明显优于对照组,差异具有统计学意义(P<0.05);试验组的满意度(98.1%)明显高于对照组(79.2%),差异具有统计学意义(P<0.05)。结论:对青年糖尿病合并脑梗死患者进行血糖综合管理可以有效的控制血糖及炎性指标,提高患者的生活质量,患者满意度比较高。
Objective: To investigate the effect of integrated management of blood glucose in young patients with diabetes mellitus and cerebral infarction. Methods: From July 2014 to July 2016, 106 young patients with diabetes mellitus complicated with cerebral infarction were selected for intervention. According to the different intervention methods, 53 cases were divided into experimental group and control group. The control group received routine nursing. (NIHSS score), SF-36 quality of life score and high-sensitivity C-reactive protein (hs-CRP), neuron-specific Enolase (NSF), blood glucose levels. Results: The NIHSS score of the experimental group was significantly lower than that of the control group after intervention (P <0.05), the quality of life score of the experimental group was significantly higher than that of the control group, the difference was statistically significant (P <0.05 ). The hs-CRP, NSF and blood glucose levels of the experimental group were significantly better than those of the control group (P <0.05). The satisfaction of the experimental group (98.1%) was significantly higher than that of the control group (79.2% The difference was statistically significant (P <0.05). Conclusion: Comprehensive management of blood glucose in young patients with diabetes mellitus and cerebral infarction can effectively control blood sugar and inflammatory markers, improve the quality of life of patients, and patients’ satisfaction is relatively high.