目的 探讨综合护理干预对脑梗死合并糖尿病患者治疗效果的影响.方法 选择脑梗死合并糖尿病患者96例,随机分成两组,对照组(n=46)常规进行治疗护理;实验组(n=50)进行综合护理干预,包括由营养师根据患者情况提供营养治疗饮食,针对每位患者制订全面的护理计划和个体指导.对两组患者进行膳食调查及相关生化指标测定,以观察治疗效果.结果 采用综合护理干预措施后,两组空腹血糖、餐后2 h血糖、糖化血红蛋白、血清胆固醇、甘油三酯等生化指标均降低,但实验组与对照组相比效果更为明显;实验组的饮食结构更为合理.结论 综合护理干预可以有效控制脑梗死合并糖尿病患者的血糖,对改善患者的临床症状,促进患者康复起到重要的作用.%Objective To observe the effect of nursing intervention on diabetes mellitus patients complicated with cerebral infarction. Methods A total of 96 subjects with the hospitalized diabetes mellitus patients complicated with cerebral infarction were randomly allocated into two groups: The experimental group were provided with nursing intervention and the control group went on normal nursing. Patients in both groups were investigated on meals, diabetic nutrition knowledge and were detected for correlative biochemical indices. Results After the nursing intervention, patients biochemical indices of fasting blood-glucose, blood sugar 2 hours after meal, hemoglobin of glycosylation, cholesterol and triglyceride in serum in both groups were significantly lower. Compared with the control group, the effect of the experimental group was even better. The acknowledgement rate of nutrition knowledge on diabetes of the experimental group improved significantly, and their meals were more scientifically arranged. Conclusions The nursing intervention would be very helpful for diabetes mellitus patients complicated with cerebral infarction to control their blood-sugar level, alleviate their clinical symptoms and have a better outcome.
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