老年糖尿病病人合并心力衰竭的预见性护理  

Predictive Nursing Care of Aged Diabetes Patients Complicated With Heart Function Failure

作　　者：周庆[1] 孟晓敏[1] 姚静[1] 席佳楠[1] 

机构地区：[1]中国人民解放军总医院

出　　处：《护理研究（下半月）》2004年第1期117-118,共2页

基　　金：自选研究课题

摘　　要：目的 :探讨老年糖尿病(DM )突发左心衰竭预见性护理。方法 :将 10 0例老年DM病人根据其合并症的不同分为DM合并冠心病组(CHD组 )和DM合并心肌梗死组 (AMI组 ) ,分析病人是否使用胰岛素在发生心力衰竭时及治疗后血糖、血压、水肿情况及心力衰竭的诱发因素。结果 :老年DM发生左心衰竭主要诱发因素是感染、高血脂症。且心力衰竭时可能出现血糖降低 ;注射胰岛素者在心力衰竭治疗过程中水肿较明显。结论 :通过针对危险因素进行预见性护理 ,监测及控制血糖 。Objective: to explore a predictive nursing care for senile diabetes mellitus (DM) patients developed left heart failure. Method: a total of 100 cases of senile DM patients were divided into DM complicated with coronary heart diseases (CHD) and DM complicated with acute myocardiac infarction (AMI) groups according to their complications. Whether patients accepted insulin treatment, blood glucose concentration, blood pressure, whether with swelling when patients developed heart failure and after treatment were given were analyzed. Factors of inducing heart failure of patients were also analyzed. Results: the main inducing factors of aged DM patients to develop left heart function failure were infection and hyperlipidemia. Moreover, Patients may manifest lowered blood glucose when they developed heart failure. Those accepting insulin therapy had more remarkable edema during the treatment of their heart failure. Conclusion: by carrying out predictive nursing care on risk factors of senile DM patients, monitoring and controlling the blood glucose concentration, one could reduce the incidence of heart failure complication of them.

关 键 词：老年 糖尿病 合并症 心力衰竭 预见性护理 

分 类 号：R587.2[医药卫生—内分泌] R541.6[医药卫生—内科学]