活血化瘀护理干预在糖尿病合并中风患者中的应用效果(1)
[摘要] 目的 探讨活血化瘀护理干预在糖尿病合并中风患者中的应用效果。 方法 选取2015年9月～2017年4月北京中医药大学第三附属医院内分泌科收治的糖尿病合并中风患者86例，按照随机数字表法分为观察者和对照组，每组各43例。对照组采用常规护理干预，为观察组采用常规结合活血化瘀护理干预，比较两组的护理效果。 结果 干预后两组空腹血糖和餐后血糖比较，差异无统计学意义(P > 0.05)；干预后观察组低密度脂蛋白-胆固醇低于对照组，高密度脂蛋白-胆固醇高于对照组，差异有统计学意义(P < 0.05)。干预前后两组总胆固醇、三酰甘油水平组间比较，差异均无统计学意义(P > 0.05)；干预后观察组上肢功能、下肢功能和手部功能的评分高于对照组，差异有统计学意义(P < 0.05)。 结论 在糖尿病合并中风的护理干预过程中应用活血化瘀的效果较为显著，能有效控制血糖和血脂的水平。
[关键词] 活血化瘀；糖尿病；中风；护理干预
[中图分类号] R248 [文献标识码] A [文章编号] 1673-7210(2018)09(b)-0151-04
[Abstract] Objective To explore the application effect of blood circulation and blood stasis nursing intervention in diabetic patients with apoplexy. Methods From September 2015 to April 2017， in Department of Endocrine， the Third Affiliated Hospital of Beijing University of Traditional Chinese Medicine， 86 patients with diabetes combined with stroke were selected， according to random number table method， they were observe group and control group， with 43 cases in each group. The control group was given routine nursing intervention， the observation group was routine nursing combined with the method of activating blood and removing stasis， the nursing effect of the two groups was compared. Results There was no significant difference in the levels of FBG and PBG after intervention between the two groups (P > 0.05). The level of LDL-C after intervention in the observation group was lower than the control group， and the level of HDL-C was higher than the control group， there were significant differences (P < 0.05). There was no significant difference in the levels of TC and TG between the two groups before or after intervention， and there was no statistical significance (P > 0.05). The scores of upper limb function， lower limb function， and hand function scores in the observation group after intervention were higher than the control group， and the differences had statistical significance (P < 0.05).Conclusion The effect of promoting blood circulation and removing blood stasis nursing intervention on diabetes patients with stroke is better， can obviously reduce blood sugar and blood lipid levels， can significantly improve the function of patients， and is worthy of clinical application.
[Key words] Activating blood circulation to dissipate blood stasis； Diabetes mellitus； Apoplexy； Nursing intervention
根據调查发现，每年糖尿病患者的数量均有增加，血糖过高是诱发糖尿病发病的主要因素之一，是一种慢性的代谢性的疾病。糖尿病患者因为长期的高血糖作用，会使血流发生异常[1]。临床中针对糖尿病合并中风患者需要给予及时对症治疗，在治疗同时需要给予一定的护理干预，临床中常规护理方法的效果并不显著，因为护理缺少特异性。研究表明，糖尿病合并中风患者多有经络瘀阻证，进行活血护理可缓解症状，提高疗效[2]。本研究主要探讨活血化瘀护理干预在糖尿病合并中风患者中的应用效果，现报道如下：, 百拇医药(刘静 张敬 张雪键 张秘 李山)
[关键词] 活血化瘀；糖尿病；中风；护理干预
[中图分类号] R248 [文献标识码] A [文章编号] 1673-7210(2018)09(b)-0151-04
[Abstract] Objective To explore the application effect of blood circulation and blood stasis nursing intervention in diabetic patients with apoplexy. Methods From September 2015 to April 2017， in Department of Endocrine， the Third Affiliated Hospital of Beijing University of Traditional Chinese Medicine， 86 patients with diabetes combined with stroke were selected， according to random number table method， they were observe group and control group， with 43 cases in each group. The control group was given routine nursing intervention， the observation group was routine nursing combined with the method of activating blood and removing stasis， the nursing effect of the two groups was compared. Results There was no significant difference in the levels of FBG and PBG after intervention between the two groups (P > 0.05). The level of LDL-C after intervention in the observation group was lower than the control group， and the level of HDL-C was higher than the control group， there were significant differences (P < 0.05). There was no significant difference in the levels of TC and TG between the two groups before or after intervention， and there was no statistical significance (P > 0.05). The scores of upper limb function， lower limb function， and hand function scores in the observation group after intervention were higher than the control group， and the differences had statistical significance (P < 0.05).Conclusion The effect of promoting blood circulation and removing blood stasis nursing intervention on diabetes patients with stroke is better， can obviously reduce blood sugar and blood lipid levels， can significantly improve the function of patients， and is worthy of clinical application.
[Key words] Activating blood circulation to dissipate blood stasis； Diabetes mellitus； Apoplexy； Nursing intervention
根據调查发现，每年糖尿病患者的数量均有增加，血糖过高是诱发糖尿病发病的主要因素之一，是一种慢性的代谢性的疾病。糖尿病患者因为长期的高血糖作用，会使血流发生异常[1]。临床中针对糖尿病合并中风患者需要给予及时对症治疗，在治疗同时需要给予一定的护理干预，临床中常规护理方法的效果并不显著，因为护理缺少特异性。研究表明，糖尿病合并中风患者多有经络瘀阻证，进行活血护理可缓解症状，提高疗效[2]。本研究主要探讨活血化瘀护理干预在糖尿病合并中风患者中的应用效果，现报道如下：, 百拇医药(刘静 张敬 张雪键 张秘 李山)