刘冬梅

[摘要] 目的 探究老年2型糖尿病合并脑梗塞的早期康复护理方案。方法 将2018年6月—2019年9月这一时段内在该院治疗的老年2型糖尿病合并脑梗塞患者84例纳入研究，采用随机数字表法，将之分为两组，每组42例，对照组给予常规护理，观察组在此基础上给予早期康复护理，对比两组护理成效。结果 干预后，观察组NIHSS评分为（13.52±1.08）分、FMA评分为（48.80±3.02）分、Barthel评分为（45.05±2.73）分;对照组NIHSS评分为（18.95±1.27）分、FMA评分为（41.96±2.34）分、Barthel评分为（37.15±2.10）分。观察组干预后NIHSS评分明显低于对照组，FMA、Barthel评分则均明显高于对照组，两组之间的数据差异有统计学意义（t=9.112、9.280、9.132，P<0.05）。结论 早期康复护理应用于老年2型糖尿病合并脑梗塞中，可促进患者病情康复，改善其预后生活能力，值得采纳应用。

[关键词] 老年患者;2型糖尿病;脑梗塞;早期康复护理

[中图分类号] R47          [文献标识码] A          [文章编号] 1672-4062（2020）06（a）-0132-03

[Abstract] Objective To explore the early rehabilitation nursing plan for elderly type 2 diabetes with cerebral infarction. Methods A total of 84 elderly patients with type 2 diabetes and cerebral infarction treated in the hospital from June 2018 to September 2019 were included in the study. Random number table method was used to divide them into two groups， 42 cases in each group. The control group was given routine care， and the observation group was given early rehabilitation care on this basis to compare the effectiveness of the two groups. Results After intervention， the NIHSS score of the observation group was （13.52±1.08）points， the FMA score was （48.80±3.02）points， the Barthel score was （45.05±2.73）points; the NIHSS score of the control group was （18.95±1.27）points， and the FMA score was （41.96±2.34）points， Barthel score was （37.15±2.10）points. The NIHSS score of the observation group was significantly lower than that of the control group after intervention， and the FMA and Barthel scores were significantly higher than the control group. The data between the two groups were significantly different （t=9.112， 9.280， 9.132， P<0.05）. Conclusion The application of early rehabilitation nursing in elderly patients with type 2 diabetes combined with cerebral infarction can promote the recovery of the patient's condition and improve their prognosis and life ability.

[Key words] Elderly patients; Type 2 diabetes; Cerebral infarction; Early rehabilitation nursing

糖尿病是一種临床常见的代谢性疾病，其基本特征为高血糖，根据病症特点，可分为1型糖尿病和2型糖尿病这两种症型，二者比例约为1：9。作为一种终身性疾病，患者日常生活中需按时服药，加强在饮食、作息、运动上的自我管理，如若管理不到位，病情无法控制，会增加脑梗塞等心脑血管事件的发生风险[1-2]。在我国，2型糖尿病发生率极高，且不少患者并发脑梗塞，两种疾病相互影响，彼此促进，在治疗及护理时，应同时加强对这两种疾病的管控。近年来，有学者表示，针对老年2型糖尿病合并脑梗塞患者，加强早期康复护理方法干预的效果显著，可促进患者早日康复。鉴于此，该次试验将该院2018年6月—2019年9月收治的84例老年2型糖尿病合并脑梗塞患者作为研究的对象，旨在探究老年2型糖尿病合并脑梗塞的早期康复护理方案，报道如下。

1  资料与方法

1.1  一般资料