杨淑范　黄冬梅　孔令芳　危苹

[摘要] 目的 研究2型糖尿病合并痛风急性发作患者开展护理干预的价值。方法 纳入该院自2018年5月—2019年4月接收的2型糖尿病合并痛风急性发作患者（n=37）作为研究对象，为37例患者开展临床护理，评估护理后临床症状缓解情况、护理前后血糖水平改善情况、尿酸下降情况。结果 护理后临床症状得到有效缓解;护理后尿酸水平低于护理前（P<0.05）。护理后血糖水平低于护理前（P<0.05）。结论 2型糖尿病合并痛风急性发作患者开展护理干预的价值显著，既可降低体内尿酸水平，又可缩短临床症状缓解时间，值得借鉴。

[关键词] 2型糖尿病;痛风急性发作;护理;尿酸;血糖水平

[中图分类号] R59          [文献标识码] A          [文章编号] 1672-4062（2020）02（a）-0178-02

Nursing Experience of 37 Cases of Type 2 Diabetes with Acute Gout

YANG Shu-fan， HUANG Dong-mei， KONG Ling-fang， WEI Ping

Cerebrovascular Hospital of Daqing Oilfield， Daqing， Heilongjiang Province， 163113 China

[Abstract] Objective To study the value of nursing intervention in patients with type 2 diabetes with gout. Methods The patients with type 2 diabetes and acute gout（n=37） received in the hospital from May 2018 to April 2019 were included as the research object， and clinical care was performed for 37 patients. Improvement of blood glucose level and decrease of uric acid before and after nursing were evaluated. Results The clinical symptoms were effectively relieved after nursing; the uric acid level after nursing was lower than that before nursing（P<0.05）. The blood glucose level after nursing was lower than that before nursing（P<0.05）. Conclusion The value of nursing intervention in patients with acute gout of type 2 diabetes with gout is significant. It can reduce the uric acid level in the body and shorten the time to relieve clinical symptoms. It is worth learning from.

[Key words] Type 2 diabetes; Acute gout; Nursing; Uric acid; Blood glucose levels

糖尿病、痛風均为内分泌代谢异常性疾病，糖尿病人群多伴有高血压、高血脂、高尿酸血症等疾病，痛风是机体嘌呤类物质代谢紊乱、尿酸排泄减少诱发的炎症反应，其中高尿酸血症为诱发痛风的基础，对患者生活质量影响较为明显，故需及早干预，以期改善患者临床症状，降低机体血糖、尿酸水平，促进其各功能恢复。该次2018年5月—2019年4月间选择37例2型糖尿病合并痛风急性发作患者，开展护理干预，现报道如下。

1  资料与方法

1.1  一般资料

选取该院接收的2型糖尿病合并痛风急性发作患者（n=37）进行研究，其中男35例、女2例，年龄区间22～48岁，平均年龄（35.00±12.00）岁;发病部位：第一跖趾关节者27例、踝关节者7例、膝关节者2例、跖趾关节者1例;合并症：合并高血压者25例、合并冠心病者8例、合并糖尿病肾病者4例。纳入：伴不同程度关节肿胀、疼痛者;临床资料齐全者;配合程度较好者;既往痛风病史者;既往糖尿病病史者。排除：配合程度较差者;临床资料缺失者;自愿退出该次研究者。……