摘要
目的：探讨肺结核合并2型糖尿病患者的护理方法。方法：对2007年1月~2008年6月收入院的90例肺结核合并2型糖尿病患者进行抗结核药物治疗、糖尿病治疗。做好饮食护理、心理护理、肺结核护理、糖尿病护理、运动指导、用药指导、出院指导,并预防感染。结果：治疗后,X线胸片显示病灶较入院时明显吸收好转78例。25例痰菌阳性者中18例转阴。血糖控制良好73例。合并肺部感染6例,发生咯血7例（咯血量〈100 m l）,经使用抗生素、进行止血等有效治疗后病情得到有效遏制。患者住院期间均未出现糖尿病酮症酸中毒、低血糖昏迷情况。12例发生低血糖反应,经处理未再发生。出院时空腹血糖控制为5.30~8.12 mmol/L。结论：根据患者的病情进行合理的治疗和护理,可促进患者康复。
Objective： To explore the nursing methods in the treatment of patients with pulmonary tuberculosis complicated with type 2 diabetes mellitus.Methods： 90 patients were given anti-TB drug therapy and diabetic treatment.The comprehensive nursing measures were applied to the patients,including dietary care,psychological care,tuberculosis and diabetes nursing care,exercise instruction,medication guidance,guidance on the discharge and prevention of infections.Results： After treatment,X-ray showed 78 patients had improvement in absorption of lesions compared with that on admission.18 patients with positive sputum became negative;blood glucose control was good in 73 patients;complicated pulmonary infection occurred in 6 patients,hemoptysis occurred in 7 patients（hemoptysis volume 100 ml） and bleeding was effectively curbed by the use of antibiotics and other effective treatment.No diabetic ketoacidosis and hypoglycemic coma occurred in any patients during hospitalization.Hypoglycemia occurred in 12 patients and it did not happened again after treatment.Fasting blood glucose of the patients was controlled between 5.30 and 8.12 mmol / L when the patients were discharged from hospital.Conclusion： Appropriate treatment and nursing care implemented by patient＇s conditions can promote the rehabilitation of patients.
出处
《齐鲁护理杂志》
2010年第12期20-22,共3页
Journal of Qilu Nursing
关键词
肺结核
2型糖尿病
护理
Tuberculosis
Type 2 diabetes mellitus
Nursing
