曾晓洪 陈蓉 张波 尹晓华 龚厚文

摘要：目的：分析急性心肌梗死合并糖尿病酮症酸中毒患者的护理措施。方法：将2018年1月～2020年3月接受治疗的60例急性心肌梗死合并糖尿病酮症酸中毒患者作为研究对象，通过随机数字表法分为参比组和實验组，各30例。参比组实施常规护理，实验组实施针对性护理，对比两组患者临床指标以及护理满意度。结果：实验组患者接受护理干预后空腹血糖指数以及餐后2 h血糖指数均低于参比组，护理满意度高于参比组，差异有统计学意义（P<0.05）。结论：将针对性护理模式应用到急性心肌梗死合并糖尿病酮症酸中毒患者护理过程中能够有效改善其临床指标，并且有助于提升护理满意度。

关键词：急性心肌梗死;糖尿病酮症酸中毒;护理措施

ExPlore the nursing measures of Patients with acute myocardial infarction combined with diabetic ketoacidosis

Zeng Xiaohong，Chen Rong，Zhang Bo，Yin Xiaohua， Gong Houwen （DePartment of Cardiology，PeoPle's HosPital of Pidu District，Sichuan Province Chengdu 611730）

Abstract：Objective： To analyze the nursing measures of Patients with acute myocardial infarction combined with diabetic ketoacidosis.Methods：Our hosPital took 60 Patients with acute myocardial infarction and diabetic ketoacidosis who were admitted for treatment from January 2018 to March 2020 as observation objects，and divided them into reference grouP and exPeriment by random number table method There are 30 cases in both grouPs.The reference grouP imPlemented routine care for Patients during the exPeriment， and the exPerimental grouP imPlemented targeted care measures for the Patients. The clinical indicators and nursing satisfaction of the two grouPs of Patients were comPared and analyzed.Results：The fasting glycemic index and the 2h PostPrandial glycemic index of the exPerimental grouP of Patients after receiving nursing intervention were lower than the reference grouP，and the nursing satisfaction showed higher than that of the reference grouP.There are big differences in the data between the grouPs，which is of significance for comParative analysis（P<0.05）.Conclusion：APPlying the targeted nursing model to the nursing Process of Patients with acute myocardial infarction combined with diabetic ketoacidosis can effectively imProve their clinical indicators and helP imProve nursing satisfaction. It can be widely used and Promoted in clinical Practice.

Keywords： acute myocardial infarction; diabetic ketoacidosis;nursing measures;clinical efficacy

急性心肌梗死是临床常见的心血管疾病，主要是由于冠脉急性闭塞使血流中断导致心肌损伤和坏死引起，在患者发病过程中普遍存在心肌损伤、胸部疼痛不适、呼吸困难以及恶心呕吐等临床症状，对患者正常生活以及生命安全造成严重影响[1]。糖尿病是临床常见慢性代谢性疾病，主要受遗传和环境影响形成，是以慢性高血糖为主要特征的临床综合征。由于糖尿病患者长期血糖控制不良，将会引发多种并发症，主要包括低血糖症、酮症酸中毒以及非酮症高渗性昏迷等，其中以酮症酸中毒最为常见。当急性心肌梗死患者合并糖尿病酮症酸中毒，不仅加大治疗难度，而且在一定程度上阻碍患者疾病康复[2]。本研究选取急性心肌梗死合并糖尿病酮症酸中毒患者为研究对象，深入探究针对性护理模式在临床实践中的应用效果。……