探讨控制血糖护理对慢阻肺合并 2型糖尿病患者预后的影响

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摘要 [摘要 ] 目的:研究分析慢阻肺合并 2型糖尿病患者接受控制血糖护理的临床效果。 方法: 2015年 5月至 2016年 9月我院对慢阻肺合并 2型糖尿病患者 126例开展分析研究,分成三组,每组 43例,对三组预后情况进行分析。 结果: AB两组无创呼吸机使用率、插管率、下呼吸道感染率比 C组低,表明血糖上升导致了慢阻肺合并 2型糖尿病患者的不良预后几率增肌。 B组的死亡率是三组最低的,和 AC两组存在统计学差异性( P<0.05),对于患者的血糖控制过严,也会增加患者的死亡率。 结论:慢阻肺合并 2型糖尿病患者的血糖控制在 7.8~ 11.1 mmol/L之间最合适,能够降低死亡率,改善预后。    [关键词 ] 控制血糖护理;慢阻肺; 2型糖尿病 [Abstract] Objective: To study and analyze the clinical effect of blood glucose control nursing on COPD patients with type 2 diabetes mellitus. Methods: From May 2015 to September 2016, 126 COPD patients with type 2 diabetes mellitus were divided into three groups, 43 cases in each group. The prognosis of the three groups was analyzed. Results: The utilization rate of non-invasive ventilator, intubation rate and lower respiratory tract infection rate in AB group were lower than those in C group, indicating that the increased blood sugar led to an increased risk of adverse prognosis in COPD patients with type 2 diabetes mellitus. The mortality rate of group B was the lowest among the three groups, and there was statistical difference between the two groups (P < 0.05). Strict control of blood glucose would also increase the mortality rate of patients. Conclusion: Blood glucose control of COPD patients with type 2 diabetes mellitus ranged from 7.8 mmol/L to 11.1 mmol/L is the most appropriate, which can reduce mortality and improve prognosis.
出处 《系统医学》 2018年11期
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出版日期 2019年12月17日(中国期刊网平台首次上网日期,不代表论文的发表时间)