摘要
目的观察护理干预对轻中度阻塞性睡眠呼吸暂停低通气综合征（OSAHS）患者血糖水平的影响。方法回顾性分析2013年1月~2015年12月我院收治的120例轻中度阻塞性睡眠呼吸暂停低通气综合征患者临床资料,总结控制饮食、减轻体重、侧卧位、经鼻持续正压通气等护理措施干预对患者血糖和糖化血红蛋白水平的影响及其与呼吸暂停指数变化的相关性。结果本组患者因经鼻持续通气治疗耐受性较差而中途退出13例,治疗依从性为81%。经护理干预后,呼吸暂停指数由干预前的（32±12）下降为（24±10）,差异具有统计学意义（P=0.01）。护理干预前空腹血糖（8.47±1.21 mmol）,餐后2小时血糖（8.62±1.01mmol）,糖化血红蛋白（6.98±0.59%）;护理干预后空腹血糖（5.52±0.77 mmol）,餐后2小时血糖（6.01±0.83 mmol）,糖化血红蛋白（5.60±0.35%）,干预前后差异比较存在显著性统计学意义（P〈0.05）。结论通过控制饮食、减轻体重,采取侧卧位、经鼻持续正压通气等为主的护理干预,可改善轻中度OSAHS患者的低氧血症,从而使血糖也获得改善,提高生活质量。
Objective To investigate the effect of nursing intervention on the levels of blood glucose and glycosylated hemoglobin among patients with mild-to-moderate degrees of obstructive sleep apnea hypopnea syndrome（OSAHS） based on a clinical trial. Methods A retrospective analysis was made on 120 cases with mild-to-moderate degrees of OSAHS, treated in our Hospital from Jan., 2013 to Dec., 2013, with their clinical data analyzed carefully. Then, the effects of nursing intervention on levels of blood glucose and glycosylated hemoglobin were summed up through a comprehensive analysis on the changes in alimentary control, weight reducing, lateral position and nasal continuous positive airway pressure（CPAP） following nursing intervention and an exploration on the association of such nursing factors with the improvement of apnea hypopnea index（AHI） among these patients.Results In this group of patients, 13 were withdrawn from this trial because of discomfort or intolerance with CPAP, therefore, the compliance rate was 81% in this study. Following nursing intervention, AHI was decreased significantly from 32 ±12 measured before intervention to 24±10 as determined after the intervention, with a significantly statistical significance（P=0.01）. The levels of fasting blood glucose（8.47±1.21 mmol）, postprandial 2 hours blood glucose（8.62±1.01 mmol） and glycosylated hemoglobin（6.98±0.59%）, as measured before intervention, were reduced very obviously to the levels of 5.52 ±0.77 mmol, 6.01 ±0.83 mmol and 5.60 ±0.35%respectively after nursing intervention, with significantly statistical significances as well（P〈0.05） among them. Conclusion Elevated levels of blood glucose and glycosylated hemoglobin can be reduced by such nursing intervention measurements as alimentary control,weight reducing, lateral position and nasal continuous positive airway pressure among patients with mild-to-moderate degrees of OSAHS. Then, improved will be the quality of life for these patients.
作者
徐丽
XU Li(Department of Medicine, Lishui Regional TCM Hospital of Nanjing, Jiangsu, 211200, China)
出处
《中国中西医结合耳鼻咽喉科杂志》
2016年第6期468-472,共5页
Chinese Journal of Otorhinolaryngology in Integrative Medicine
关键词
阻塞性睡眠呼吸暂停综合征
护理干预
血糖
糖化血红蛋白
干预效应
Obstructive sleep apnea hypopnea syndrome
Nursing intervention
Blood glucose
Glycated hemoglobin
Intervening effect
