內科治療急性胰腺炎合并糖尿病患者的護理研究

滕威偉

[摘要] 目的 對內科治療急性胰腺炎合并糖尿病患者的護理方法進行探究。方法 選取2018年9月—2019年9月該院收治的92例急性胰腺炎合并糖尿病患者，隨機分組法分成兩組，每組46例，對照組給予患者常規(guī)護理法，觀察組給予患者優(yōu)質護理法。結果 護理后，觀察組生活質量評分高于對照組，空腹血糖量、餐后2 h血糖量、甘油三酯指標對比觀察組低于對照組，護理滿意度對比觀察組高于對照組，差異有統(tǒng)計學意義（P<0.05）。結論 將優(yōu)質護理方法應用于內科治療急性胰腺炎合并糖尿病患者護理中，有助于提升患者的生活質量，優(yōu)化血糖指標，患者護理滿意度較高。

[關鍵詞] 急性胰腺炎;糖尿病;生活質量;空腹血糖;滿意度

[中圖分類號] R248.1? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1672-4062（2020）09（b）-0119-03

Nursing Research on Patients with Acute Pancreatitis and Diabetes in Internal Medicine

TENG Wei-wei

Department of Internal Medicine， Section Two， Weihai Second Hospital Affiliated to Qingdao University， Weihai， Shandong Province， 264200 China

[Abstract] Objective To explore the nursing methods of patients with acute pancreatitis combined with diabetes in internal medicine. Methods A total of 92 patients with acute pancreatitis and diabetes who were admitted to the hospital from September 2018 to September 2019 were selected and randomly divided into two groups with 46 cases in each group. The control group was given routine nursing care and the observation group was given quality care method. Results After nursing， the quality of life score of the observation group was higher than that of the control group. The fasting blood glucose level， 2 h postprandial blood glucose level， and triglyceride index comparison of the observation group were lower than those of the control group， and the nursing satisfaction comparison observation group was higher than the control group， being statistically significant （P<0.05）. Conclusion Applying high-quality nursing methods to the nursing of patients with acute pancreatitis combined with diabetes in internal medicine can help improve the patient's quality of life， optimize blood glucose indicators， and have a high degree of satisfaction with patient care.

[Key words] Acute pancreatitis; Diabetes; Quality of life; Fasting blood glucose; Satisfaction

急性胰腺炎是臨床上一種發(fā)病率較高的急腹癥，是由胰腺內部的消化酶被激活后消化胰腺組織出現(xiàn)的化學性炎癥，具有預后效果不好，病情兇險及患者病死率高等特點。由于胰腺中包含有多種類型的細胞，β（B）細胞對胰島素會產(chǎn)生分泌作用，α（A）細胞對胰糖素會產(chǎn)生分泌作用[1]，還有一些細胞對促胃液素、胰多肽及血管活性腸肽會產(chǎn)生分泌作用。糖尿病在中老年人中有著較高的發(fā)病率，屬于一類內分泌代謝疾病，引發(fā)該種疾病的產(chǎn)生受多種因素所致，在發(fā)病后會加速胰島素的分泌，引發(fā)代謝紊亂產(chǎn)生，患者的臨床癥狀主要表現(xiàn)為慢性高血糖，一些病情較為嚴重的患者還會出現(xiàn)脂肪代謝紊亂、蛋白質、電解質代謝紊亂等[2]。一些重癥患者會出現(xiàn)不同程度的應激反應，進而引發(fā)高滲性昏迷、酮癥酸中毒等急性代謝紊亂疾病的產(chǎn)生。當急性胰腺炎合并糖尿病時，會促使機體處于一種應激狀態(tài)中，促使胰高血糖素上升，胰島素分泌量下降，若不能及時對患者進行治療，會導致患者病情出現(xiàn)進一步惡化情況，影響疾病預后治療效果[3]。該文將于2018年9月—2019年9月該院收治的92例急性胰腺炎合并糖尿病患者作為研究對象，對內科治療急性胰腺炎合并糖尿病患者的護理方法進行探究，現(xiàn)報道如下。