血糖控制水平对高血压糖尿病合并脑出血患者并发症的影响  

Effect of different blood glucose control levels on the complications in hypertensive diabetic patients with combined cerebral hemorrhage

作　　者：李小华[1] 李斯明[1] 刘淑娴[1] 

机构地区：[1]广州市红十字会医院,广东广州510220

出　　处：《现代临床护理》2011年第5期36-37,共2页Modern Clinical Nursing

摘　　要：目的探讨血糖控制水平对高血压糖尿病(diabetes mellitus,DM)合并脑出血患者并发症发生的影响。方法将156例脑出血患者按血糖控制水平分为DM血糖控制良好组(95例)和DM血糖控制不良组(61例),比较两组患者死亡率和并发症的发生情况。结果 DM血糖控制不良组患者肺部感染、压疮的发生率及死亡率高于DM血糖控制良好组,两组比较,差异具有统计学意义(均P<0.05)。结论血糖控制不良会增加高血压糖尿病合并脑出血患者死亡率及肺部感染和压疮的发生率。加强血糖的监测与控制,做好患者和家属的健康指导,对降低并发症的发生具有重要意义。Objective To investigate the effect of blood glucose control on the hypertensive and diabetic patients with complication of cerebral hemorrhage. Method 156 hypertensive and diabetic patients with complication of cerebral hemorrhage were divided into well-controlled glucose group（n = 95） and poorly-controlled glucose group（n = 61） according to their glucose control level. Result The rate of pulmonary infection,the rate of bedsores and the mortality in the poorly-controlled group were lowered significantly than those in the well-controlled group（P 0.05）. Conclusions The poor control of blood glucose may increase the rate pulmonary infection,the rate of bedsores and the mortality.It is meaningful for lowering complication rate to attach importance to the monitoring and control of blood glucose and to the instruction to the families of patients and enhance nursing.

关 键 词：高血压 糖尿病 脑出血 血糖水平 护理 

分 类 号：R473.5[医药卫生—护理学]