内科治疗急性胰腺炎合并糖尿病患者的护理研究

滕威伟

[摘要] 目的 对内科治疗急性胰腺炎合并糖尿病患者的护理方法进行探究。方法 选取2018年9月—2019年9月该院收治的92例急性胰腺炎合并糖尿病患者，随机分组法分成两组，每组46例，对照组给予患者常规护理法，观察组给予患者优质护理法。结果 护理后，观察组生活质量评分高于对照组，空腹血糖量、餐后2 h血糖量、甘油三酯指标对比观察组低于对照组，护理满意度对比观察组高于对照组，差异有统计学意义（P<0.05）。结论 将优质护理方法应用于内科治疗急性胰腺炎合并糖尿病患者护理中，有助于提升患者的生活质量，优化血糖指标，患者护理满意度较高。

[关键词] 急性胰腺炎;糖尿病;生活质量;空腹血糖;满意度

[中图分类号] R248.1          [文献标识码] A          [文章编号] 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种发病率较高的急腹症，是由胰腺内部的消化酶被激活后消化胰腺组织出现的化学性炎症，具有预后效果不好，病情凶险及患者病死率高等特点。由于胰腺中包含有多种类型的细胞，β（B）细胞对胰岛素会产生分泌作用，α（A）细胞对胰糖素会产生分泌作用[1]，还有一些细胞对促胃液素、胰多肽及血管活性肠肽会产生分泌作用。糖尿病在中老年人中有着较高的发病率，属于一类内分泌代谢疾病，引发该种疾病的产生受多种因素所致，在发病后会加速胰岛素的分泌，引发代谢紊乱产生，患者的临床症状主要表现为慢性高血糖，一些病情较为严重的患者还会出现脂肪代谢紊乱、蛋白质、电解质代谢紊乱等[2]。一些重症患者会出现不同程度的应激反应，进而引发高渗性昏迷、酮症酸中毒等急性代谢紊乱疾病的产生。当急性胰腺炎合并糖尿病时，会促使机体处于一种应激状态中，促使胰高血糖素上升，胰岛素分泌量下降，若不能及时对患者进行治疗，会导致患者病情出现进一步恶化情况，影响疾病预后治疗效果[3]。该文将于2018年9月—2019年9月该院收治的92例急性胰腺炎合并糖尿病患者作为研究对象，对内科治疗急性胰腺炎合并糖尿病患者的护理方法进行探究，现报道如下。