摘要
目的探讨拉米夫定抗病毒疗法治疗老年肝硬化合并肝源性糖尿病患者的护理措施。方法回顾性分析2009年1月至2010年6月长海医院收治的48例老年肝硬化合并肝源性糖尿病患者的病情特点、血糖情况与肝功能分级的关系、拉米夫定抗病毒治疗及护理过程。结果根据患者具体情况制定糖尿病饮食计划、积极保肝、营养支持、防治肝硬化并发症、应用胰岛素调控血糖。拉米夫定抗病毒治疗1个月后的患者肝功能明显好转,且空腹血糖控制也较好。结论老年肝硬化合并肝源性糖尿病症状不典型,血糖水平和肝硬化程度密切相关。采取抗病毒等综合疗法及恰当的护理可使肝功能好转并使血糖水平得到有效控制。
Objective To investigate the nursing measures in elderly patients with hepatocirrhosis and hepatogenous diabetes under lamivudine therapy.Methods The clinical state,relationship between blood sugar state,the grade of liver function the process of lamivncline treatment and nursing were analyzed retrospectively in 48 patients from January 2009 through June 2010 in Changhai Hospital.Results A series of countermeasures were prepared for the patients with specific conditions including diabetic diet plan,a positive liver protection,nutritional support,prevention and treatment of complications of liver cirrhosis and insulin regulation of blood sugar.After one month＇s Lamivudine therapy,the liver function and fasting blood glucose control were significantly improved.Conclusion The clinical symptoms in elderly patients with hepatocirrhosis and hepatogenous diabetes are untypica1.The blood glucose level is closely correlated with the condition of hepatocirrhosis.Anti-virus combination therapy and appropriate nursing help improve liver function and reduce blood glucose level.
出处
《解放军护理杂志》
2011年第4期50-51,61,共3页
Nursing Journal of Chinese People's Liberation Army
关键词
拉米夫定
肝硬化
肝源性糖尿病
护理
lamivudine
hepatocirrhosis
hepatogenous diabetes
nursing
