糖尿病肾病维持胰岛素治疗患者血液透析中低血糖原因分析和护理  

Analysis and Nursing of the Causes of Hypoglycemia in Patients with Diabetic Nephropathy in Hemodialysis

作　　者：梁超凤 

机构地区：[1]广西医科大第一附属医院,广西南宁530021

出　　处：《中外医学研究》2015年第29期94-96,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：广西自然科学基金项目(项目编号:2010GXNSFA013192)

摘　　要：目的:探讨糖尿病肾病维持胰岛素治疗患者血液透析中低血糖的诱发原因,并行针对性护理干预。方法:选取2010年1月-2012年12月笔者所在医院收治的糖尿病肾病维持胰岛素治疗患者88例作为研究对象。根据不同护理方法分为对照组(常规护理)和观察组(采取护理干预),每组各44例。两组均完成200次透析,对两组透析中低血糖情况和护理满意度进行分析。结果:观察组200次血液透析中,出现14次低血糖事件,占7.0%;对照组200次血液透析中,出现47次低血糖事件,占23.5%。观察组患者低血糖事件的发生率低于对照组,差异有统计学意义(P<0.05),且观察组不同时间段低血糖事件的发生率低于对照组,差异有统计学意义(P<0.05);观察组患者的护理满意度为100%,对照组为88.64%,观察组的护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:营养摄入不足、胰岛素用量不当是诱发患者出现低血糖的主要原因。行血液透析治疗期间,应加强对患者饮食干预,严密监察其生命体征,有利于降低低血糖的发生率。Objective：To investigate the causes of hypoglycemia in the maintenance of diabetic nephropathy in hemodialysis, and to explore the nursing intervention.Method：88 patients with diabetic nephropathy in our hospital from January 2010 to December 2012 were selected as research objects who treated with insulin therapy.According to the different nursing methods,88 patients were divided into the control group （routine nursing） and the observation group （Adopt nursing intervention）,44 cases in each group.In the two groups,the patients were completed 200 times of hemodialysis,and the low blood sugar and the satisfaction of nursing in the hemodialysis were analyzed.Result：In the observation group,14 times of hypoglycemia occurred in 200 times,accounting for 7.0%; the control group was 47 times of hypoglycemia events,accounting for 23.5%,the incidence of hypoglycemia events in the observation group was lower than the control group,the difference was statistically significant（P〈0.05）.The incidence in different time periods of hypoglycemia in the observation group was lower than that in the control group, the difference was statistically significant（P〈0.05）.The nursing satisfaction rate of the observation group was 100%, while the control group was 88.64%, the satisfaction rate was higher than the control group, the difference was statistically significant（P〈0.05）.Conclusion：The main causes of hypoglycemia in patients with inadequate nutritional intake and insufficient insulin dosage.During hemodialysis treatment,it should be strengthen the intervention diet of the patients,closely monitor their vital signs,and this beneficial to reduce the incidence of hypoglycemia.

关 键 词：糖尿病肾病 胰岛素 血液透析 低血糖原因 护理方法 

分 类 号：R473.5[医药卫生—护理学]