丛晓霞

[摘要] 目的 探讨护理干预对糖尿病合并急性胰腺炎患者治疗效果的影响。方法 选取该科2016年12月—2017年12月收治的糖尿病合并急性胰腺炎患者66例，随机分为两组各33例，对照组给予常规护理，观察组在对照组的基础上给予护理干预，比较效果。结果 观察组复发率为9.1%，并发症发生率为6.1%，护理满意度为93.9%，护理效果明显优于对照组21.2%、18.2%、75.8%（P<0.05）；观察组FPG（6.7±0.4）mmol/L、住院时间（14.2±2.1）d，均明显优于对照组（P<0.05）。结论 对糖尿病合并急性胰腺炎患者进行护理干预，能有效减少患者复发和并发症发生，提高治疗效果和护理满意度。

[关键词] 护理干预；糖尿病；急性胰腺炎；治疗效果

[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062（2018）02（b）-0139-02

Effect of Nursing Intervention on the Treatment of Diabetic Patients with Acute Pancreatitis

CONG Xiao-xia

Department of Nursing， Jilin Provincial People's Hospital， Changchun， Jilin Province， 130000 China

[Abstract] Objective This paper tries to explore the effect of nursing intervention on the therapeutic effect of diabetic patients with acute pancreatitis. Methods 66 patients with diabetes mellitus complicated with acute pancreatitis who were admitted to this hospital from December 2016 to December 2017 were randomly divided into two groups of 33 cases each. The control group was given routine care， and the observation group was given care intervention on the basis of the control group. And the curative effects of the two groups were compared. Results The recurrence rate in the observation group was 9.1%， the complication rate was 6.1%， the nursing satisfaction was 93.9%，and the nursing effect was significantly better than the control group 21.2%， 18.2%， 75.8%（P<0.05）； the observation group FPG（6.7±0.4）mmol/L and hospital stay （14.2±2.1）d were significantly better than the control group（P<0.05）. Conclusion Care intervention for patients with diabetes and acute pancreatitis can effectively reduce the recurrence and complications of patients， and improve the treatment effect and satisfaction of nursing.

[Key words] Nursing intervention； Diabetes； Acute pancreatitis； Therapeutic effect

糖尿病是一組以高血糖为特征的代谢性疾病[1]。患者由于长期存在的高血糖，可引起体内代谢紊乱，导致各种组织、器官发生慢性损害、功能障碍。急性胰腺炎是临床常见的因胰蛋白酶的自身消化作用不良而引起急腹症。而且两种疾病之间有着密切的关系，胰腺的炎症会殃及胰岛，造成胰岛B细胞的破坏和减少，出现应激性高血糖现象[2]，而糖尿病也可使胰腺炎病情加重，引发多种并发症，对患者的生命健康和生存质量带来更大的危害。开展细致、有效的护理干预，加强对糖尿病合并急性胰腺炎患者血糖和症状的控制，在促进患者康复，减少并发症方面有重要意义。该文通过对该科2016年12月—2017年12月收治的33例糖尿病合并急性胰腺炎患者进行护理干预，取得满意效果，报道如下。

1 资料与方法

1.1 一般资料

选取该院收治的糖尿病合并急性胰腺炎患者66例为研究对象，随机将患者分为两组各33例，观察组男19例，女14例，年龄37～65岁，平均（49.2±1.3）岁，糖尿病病程2～11年，平均（6.8±2.4）年，急性胰腺炎病程6～29 h，平均（14.7±1.2）h；……