李楠楠

[摘要] 目的 对新生儿糖尿病（NDM）合并肺炎的临床护理干预方法及效果进行探析。 方法 对2016年2月—2017年2月该院儿科收治的82例NDM合并肺炎患儿临床资料进行回顾分析，根据护理干预方式不同分成研究组和对照组，各41例；两组患儿均给予积极治疗，对照组实施常规护理干预，研究组同时进行针对性护理干预，对比分析两组临床效果。 结果 研究组患儿护理后血糖、血糖恢复正常时间均低于对照组（P<0.05）；研究组并发症发生率为4.9%，对照组为14.6%，差异有统计学意义（P<0.05）。 结论 在NDM合并肺炎患儿治疗中实施针对性护理干预，可有效提升疗效，减少并发症发生，促进患儿康复，临床意义重大。

[关键词] 护理干预；新生儿糖尿病；肺炎

[中图分类号] R587 [文献标识码] A [文章编号] 1672-4062（2018）03（b）-0001-02

Application of Nursing Intervention in Newborns with Diabetes Combined with Pneumonia

LI Nan-nan

Department of Pediatrics， Junan Maternal and Infant Healthcare Hospital， Linyi， Shandong Province， 276600 China

[Abstract] Objective To study the clinical nursing intervention method and effect of newborns with diabetes combined with pneumonia. Methods 82 cases of children with NDM combined with pneumonia admitted and treated in our hospital from February 2016 to February 2017 were selected and divided into two groups with 41 cases in each according to different nursing intervention methods， both group were treated actively， the control group used the routine nursing invention， while the research group used the targeted nursing intervention， and the clinical effect was compared and analyzed. Results The blood glucose and recovery time of blood glucose after nursing in the research group were lower than those in the control group（P<0.05）， and the incidence rate of complications in the research group and in the control group was respectively 4.9% and 14.6%， and the difference was statistically significant（P<0.05）. Conclusion The implementation of targeted nursing intervention in children with NDM combined with pneumonia can effectively improve the curative effect， reduce the occurrence of complications and promote the recovery of children， and it is of great clinical significance.

[Key words] Nursing intervention； Newborns with diabetes； Pneumonia

NDM是一種特殊的内分泌系统病变，主要发生在6个月内的新生儿中，通常发病较急、症状较重。由于患儿机体处在高血糖状态，整体机能较差，易并发其他疾病[1]。肺炎的小儿多发性呼吸道感染性疾病[1]。NDM合并肺炎使患儿机体免疫功能大幅降低，如未及时治疗干预，可能引起心衰、呼吸衰竭等严重病症，对患儿生命安全造成极大威胁。因此，必须积极治疗，并加强临床护理干预。该文主要于2016年2月—2017年2月对82例NDM合并肺炎患儿的临床护理情况进行回顾性研究，现报道如下。

1 资料与方法

1.1 一般资料

回顾分析该院儿科收治的82例NDM合并肺炎患儿的临床资料，均通过临床症状、血生化、实验室培养等检查确诊，符合《诸福棠实用儿科学》关于NDM和肺炎的诊断标准[2]，随机2次血糖均6.0 mmol/L。临床表现为发热、咳嗽、气促等，肺部听诊有湿啰音。排除肝肾功能不全、先天心脏病、肝肾功能不全等患儿。依照护理方式不同分成两组，每组41例。……