[摘要] 目的 探究以循證支持为基础的综合护理对慢阻肺合并2型糖尿病患者预后的影响。方法 选取该院2018年3月—2019年3月收治的慢阻肺合并2型糖尿病患者88例，采用双盲法分为A组和B组，各44例。A组采用以循证支持为基础的综合护理，B组采用常规护理。护理2个月后观察效果，包括并发症发生率、呼吸功能评分及空腹血糖、餐后2 h血糖、糖化血红蛋白等指标。结果 A组并发症发生率2.27%，低于B组的22.73%，对比差异有统计学意义（P<0.05）。A组呼吸功能评分（0.32±0.05）分，低于B组（1.05±0.12）分，对比差异有统计学意义（P<0.05）。A组空腹血糖、餐后2 h血糖、糖化血红蛋白等指标均低于B组，对比差异有统计学意义（P<0.05）。结论 以循证支持为基础的综合护理在慢阻肺合并2型糖尿病患者中具有显著效果，可改善患者呼吸功能及血糖各指标，降低并发症发生风险，值得临床推广。

[关键词] 循证支持;综合护理;慢阻肺合并2型糖尿病;并发症;呼吸功能评分

[中图分类号] R473.5          [文献标识码] A          [文章编号] 1672-4062（2020）02（a）-0163-02

Impact of Comprehensive Nursing Based on Evidence-based Support on the Prognosis of Patients with COPD Complicated with Type 2 Diabetes

ZHU Yan

Daqing Traditional Chinese Medicine Hospital of Heilongjiang Province， Daqing， Heilongjiang Province， 163311 China

[Abstract] Objective To explore the effect of comprehensive nursing based on evidence-based support on the prognosis of patients with COPD complicated with type 2 diabetes. Methods 88 patients with COPD and type 2 diabetes treated in the hospital from March 2018 to March 2019 were selected and divided into group A and group B with 44 patients each by double-blind method. Group A used comprehensive nursing based on evidence-based support， and group B used routine nursing. The effects were observed after 2 months of nursing， including the incidence of complications， respiratory function scores and fasting blood glucose， 2 h postprandial blood glucose， glycated hemoglobin and other indicators. Results The incidence of complications in group A was 2.27%， which was lower than 22.73% in group B， and the comparison was statistically significant（P<0.05）. The respiratory function score of group A （0.32±0.05）points was lower than that of group B （1.05±0.12）points， and the comparison was statistically significant difference（P<0.05）. Fasting blood glucose， 2 h postprandial blood glucose， and glycated hemoglobin in group A were lower than those in group B， and the comparison was statistically significant difference（P<0.05）. Conclusion Comprehensive nursing based on evidence-based support has significant effects in patients with COPD and type 2 diabetes， which can improve patients' respiratory function and blood glucose indexes， reduce the risk of complications， and is worthy of clinical promotion.

[Key words] Evidence-based support; Comprehensive nursing; COPD with type 2 diabetes; Complications; Respiratory function score

慢阻肺是临床呼吸内科常见疾病，以气流阻塞性特征为主要病理变化[1]。患病后，患者可出现咳嗽、气喘及不同程度呼吸困难等临床症状，如未能得到及时有效治疗，便会持续对其呼吸道及肺功能造成损伤。目前临床部分慢阻肺患者并发2型糖尿病，患者血糖持续处于较高水平，导致临床治疗难度增加;而由于糖尿病属于终身性慢性代谢性疾病，患者极易受临床症状影响和长期治疗而出现不依从，导致治疗效果下降[2]。该院围绕2018年3月—2019年3月收治的88例慢阻肺合并2型糖尿病患者护理工作开展研究，整理报道如下。

1  资料与方法

1.1  一般资料

选取该院收治的慢阻肺合并2型糖尿病患者88例，采用双盲法分为A组和B组，各44例。A组男25例，女19例，年龄52～86岁，平均年龄（69.3±1.4）岁，病程2～14年，平均病程（7.2±0.9）年;B组男24例，女20例，年龄51～86岁，平均年龄（69.4±1.3）岁，病程2-15年，平均病程（7.3±1.0）年;两组一般资料可对比，差异无统计学意义（P>0.05）。