摘要
目的探讨精细化护理在ICU重症肺炎合并糖尿病患者中的运用效果。方法选取2020年5月—2022年5月于泉州市第一医院重症医学科(ICU)治疗的84例重症肺炎合并糖尿病患者为研究对象,按随机数表法分为两组,各42例。对照组给予常规护理,观察组采用精细化护理,持续护理至出院。对比两组血糖水平、机体恢复情况、机械通气相关并发症发生率。结果护理前,两组血糖水平比较,差异无统计学意义(P>0.05);护理后观察组空腹血糖(6.41±0.68)mmol/L、餐后2 h血糖(7.57±1.25)mmol/L、糖化血红蛋白(6.69±0.45)%低于对照组[(7.64±0.70)mmol/L、(9.22±1.50)mmol/L、(7.29±0.57)%],差异有统计学意义(P<0.05)。观察组机械通气时间(5.38±0.49)d、ICU住院时间(8.62±1.77)d、住院时间(14.62±2.70)d短于对照组[(6.24±0.51)、(12.03±1.63)、(18.07±2.48)d],差异有统计学意义(P<0.05)。观察组机械通气相关并发症发生率为4.76%,低于对照组的19.05%,差异有统计学意义(P<0.05)。结论精细化护理在ICU重症肺炎合并糖尿病患者中的运用效果显著,能稳定降低血糖水平,预防机械通气相关并发症的发生,促进病情恢复。
Objective To explore the effect of using refined care in patients with severe pneumonia combined with diabetes mellitus in ICU.Methods A total of 84 patients with severe pneumonia complicated with diabetes who were treated in intensive care Unit(ICU)of Quanzhou First Hospital from May 2020 to May 2022 were selected as the research objects,and divided into two groups according to random number table method,with 42 cases in each group.The control group was given routine nursing,the observation group was given refined nursing,continuous nursing until discharge.Blood glucose level,body recovery and the incidence of mechanical ventilation-related complications were compared between the two groups.Results Before nursing,there was no statistically significant difference in blood glucose level between the two groups(P>0.05).After nursing,the fasting blood glucose(6.41±0.68)mmol/L,2-hour postprandial blood glucose(7.57±1.25)mmol/L,and glycated hemoglobin(6.69±0.45)%in the observation group were lower than those in the control group[(7.64±0.70)mmol/L,(9.22±1.50)mmol/L,and(7.29±0.57)%],and the difference was statistically significant(P<0.05).The mechanical ventilation time(5.38±0.49)d,ICU hospitalization time(8.62±1.77)d,and hospitalization time(14.62±2.70)d in the observation group were shorter than those in the control group(6.24±0.51)d,(12.03±1.63)d,and(18.07±2.48)d,the difference was statistically significant(P<0.05).The incidence of mechanical ventilation-related complications in the observation group was 4.76%,lower than that in the control group(19.05%),and the difference was statistically significant(P<0.05).Conclusion The application of fine nursing in ICU patients with severe pneumonia complicated with diabetes has a significant effect,which can stabilize the blood sugar level,prevent the occurrence of mechanical ventilation related complications,and promote the recovery of the disease.
作者
林亚莉
陈丽媛
谢巧娟
LIN Yali;CHEN Liyuan;XIE Qiaojuan(Department of Intensive Care Medicine,Quanzhou First Hospital,Quanzhou,Fujian Province,362000 China)
出处
《糖尿病新世界》
2023年第8期153-156,共4页
Diabetes New World Magazine
关键词
重症肺炎
糖尿病
精细化护理
血糖水平
机械通气相关并发症
Severe pneumonia
Diabetes mellitus
Refined care
Blood glucose level
Complications related to mechanical ventilation
