早期康复护理对糖尿病并发脑梗塞的效果观察及并发症发生率影响评价  

Observation of the Effect of Early Rehabilitation Nursing on Diabetes Complicated with Cerebral Infarction and Evaluation of the Impact of Complication Rate

作　　者：林燕华 LIN Yanhua(Department of Neurology,Longyan First Hospital Affiliated to Fujian Medical University,Longyan,Fujian Province,364000 China)

机构地区：[1]福建医科大学附属龙岩市第一医院神经内科,福建龙岩364000

出　　处：《糖尿病新世界》2021年第11期79-82,共4页Diabetes New World Magazine

摘　　要：目的探索早期康复护理的施行对糖尿病并发脑梗塞的效果以及并发症发生率的影响。方法在该院2018年2月—2019年12月诊治的2型糖尿病并发脑梗塞患者中选出134例为对象,以电脑随机法分组,对照组67例患者给予常规护理干预,观察组67例患者在对照组基础上给予早期康复护理,对比两组患者的并发症发生率、NIHSS评分、FMA评分等。结果观察组并发症发生率低于对照组并发症发生率(4.48%vs 14.93%),差异有统计学意义(P<0.05);两组患者干预4周后的NIHSS评分均较干预前降低,FMA运动功能评分均较干预前提高,差异有统计学意义(P<0.05);但两组之间对比,干预4周后观察组的NIHSS评分低于对照组,FMA运动功能评分高于对照组,差异有统计学意义(P<0.05);观察组的血糖达标时间以及干预4周后的空腹血糖、餐后2 h血糖水平均低于对照组,差异有统计学意义(P<0.05)。结论早期康复护理在糖尿病并发脑梗塞患者中应用有助于促进血糖水平的控制,促进患者神经功能和肢体运动功能恢复,减少并发症发生。Objective To explore the effect of early rehabilitation nursing on the effect of diabetes complicated with cerebral infarction and the incidence of complications.Methods 134 patients with type 2 diabetes complicated with cerebral infarction diagnosed and treated in the hospital from February 2018 to December 2019 were selected as subjects and grouped by computer randomization.The control group 67 patients were given routine nursing intervention,and the observation group 67 patients were given early rehabilitation care based on the control group,and the complication rate,NIHSS score,FMA score,etc.of the two groups were compared.Results The complication rate of the observation group was lower than the complication rate of the control group(4.48%vs 14.93%),the difference was statistically significant(P<0.05);the NIHSS scores of the two groups of patients after 4 weeks of intervention were lower than those before the intervention,and the FMA motor function scores were increased than before intervention,the difference was statistically significant(P<0.05);but between the two groups,after 4 weeks of intervention,the NIHSS score of the observation group was lower than that of the control group,and the FMA motor function score was higher than that of the control group,the difference was statistically significant(P<0.05);the blood glucose standard time of the observation group and the fasting blood glucose after 4 weeks of the intervention and the blood glucose 2 h after meal were lower than those of the control group,the difference was statistically significant(P<0.05).Conclusion The application of early rehabilitation nursing in diabetic patients with cerebral infarction can help to promote the control of blood glucose level,promote the recovery of patients'nerve function and limb motor function,and reduce the occurrence of complications.It is worthy of promotion.

关 键 词：早期康复护理 2型糖尿病 脑梗塞 并发症 神经功能缺损程度 血糖水平 

分 类 号：R47[医药卫生—护理学]