糖尿病患儿支气管哮喘急性发作期护理探讨(1)
[摘要] 目的 探讨糖尿病患儿支气管哮喘急性发作期的护理方法与效果。方法 选取2016年1月—2018年12月在该院接受治疗的134例糖尿病支气管哮喘患儿，依护理方法不同将其分为对照组和研究组，分别给予常规护理与综合护理干预，比较两组患儿护理前后的血糖水平变化情况及哮喘控制情况。结果 两组患儿护理前FPG与2 hPG水平比较差异无统计意义(P>0.05)，护理后均有所下降，研究组患儿护理后的FPG与2 hPG水平明显低于对照组，组间比较差异有统计学意义(P<0.05);研究组患儿哮喘總控制率为97.01%，明显高于对照组的74.63%，组间比较差异有统计学意义(P<0.05)。结论 针对处急性发作期的糖尿病合并支气管哮喘患儿，给予综合护理干预可帮助患儿控制其血糖水平，缓解患儿哮喘临床症状，促进患儿恢复。
[关键词] 糖尿病;支气管哮喘;急性发作期
[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062(2019)05(a)-0001-03
[Abstract] Objective To explore the nursing methods and effects of bronchial asthma in children with diabetes. Methods A total of 134 children with diabetic bronchial asthma who were treated in our hospital from January 2016 to December 2018 were enrolled in the control group and the study group according to different nursing methods. The control group adopted routine nursing method and the study group adopted comprehensive nursing method. Changes in blood glucose levels and asthma control before and after treatment in the two groups were compared. Results There was no significant difference in the levels of FPG and 2 hPG between the two groups(P>0.05). The levels of FPG and 2 hPG in the study group were significantly lower than those in the control group(P<0.05); the total control rate of asthma in the study group was 97.01%， which was significantly higher than that of the control group (74.63%). There was significant difference between the two groups(P<0.05). Conclusion Comprehensive nursing intervention for children with diabetes and bronchial asthma in acute episodes can help children control their blood glucose levels， relieve the clinical symptoms of asthma and promote recovery.
[Key words] Diabetes; Bronchial asthma; Acute attack
糖尿病患儿的年龄较小，饮食与运动量控制较为困难，再加上其认知有限、好动等原因，因此临床多行胰岛素治疗。糖尿病全并支气管哮喘患儿处急性发作期时其病情若未得到有效控制，就极易威胁患儿生命安全，导致患儿死亡[1]。为此，在对糖尿病合并支气管哮喘患儿进行治疗的过程当中，还应有意识地加强其护理干预。该案选取了于2016年1月—2018年12月在该院接受治疗的134例糖尿病支气管哮喘患儿为研究对象，旨在控制患儿处急性发作期的护理方法与效果，现将其详细医学报道如下。
1 资料与方法
1.1 一般资料
该案研究对象134例，均为在该院接受治疗的糖尿病支气管哮喘患儿，所有患儿均经临床确诊，与WHO所制定糖尿病相关诊断标准与中华医学会儿科分会呼吸学组所制定的儿童支气管哮喘相关诊断标准相符，临床存在胸闷、呼吸困难、喘息、胸部哮鸣音等症状。排除严重心功能不全、患有心绞痛、心肌梗塞等患儿。依护理方法不同将患儿分为对照组和研究组，每组患儿67例。对照组男性患儿40例，女性患儿27例;年龄段在1.5～12岁之间，平均年龄为(6.02±2.35)岁;哮喘发作情况：轻度12例，中度41例，重度14例;治疗情况：行规范化吸入治疗16例，行间断吸入治疗24例，其余未行吸入治疗。研究组男性患儿39例，女性患儿28例;年龄段在1～12岁之间，平均年龄为(5.98±2.37)岁;哮喘发作情况：轻度10例，中度42例，重度15例;治疗情况：行规范化吸入治疗15例，行间断吸入治疗25例，其余未行吸入治疗。两组患儿基线资料比较差异无统计学意义(P>0.05)，可进行比较。, http://www.100md.com(张忠美 史秀芳)
[关键词] 糖尿病;支气管哮喘;急性发作期
[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062(2019)05(a)-0001-03
[Abstract] Objective To explore the nursing methods and effects of bronchial asthma in children with diabetes. Methods A total of 134 children with diabetic bronchial asthma who were treated in our hospital from January 2016 to December 2018 were enrolled in the control group and the study group according to different nursing methods. The control group adopted routine nursing method and the study group adopted comprehensive nursing method. Changes in blood glucose levels and asthma control before and after treatment in the two groups were compared. Results There was no significant difference in the levels of FPG and 2 hPG between the two groups(P>0.05). The levels of FPG and 2 hPG in the study group were significantly lower than those in the control group(P<0.05); the total control rate of asthma in the study group was 97.01%， which was significantly higher than that of the control group (74.63%). There was significant difference between the two groups(P<0.05). Conclusion Comprehensive nursing intervention for children with diabetes and bronchial asthma in acute episodes can help children control their blood glucose levels， relieve the clinical symptoms of asthma and promote recovery.
[Key words] Diabetes; Bronchial asthma; Acute attack
糖尿病患儿的年龄较小，饮食与运动量控制较为困难，再加上其认知有限、好动等原因，因此临床多行胰岛素治疗。糖尿病全并支气管哮喘患儿处急性发作期时其病情若未得到有效控制，就极易威胁患儿生命安全，导致患儿死亡[1]。为此，在对糖尿病合并支气管哮喘患儿进行治疗的过程当中，还应有意识地加强其护理干预。该案选取了于2016年1月—2018年12月在该院接受治疗的134例糖尿病支气管哮喘患儿为研究对象，旨在控制患儿处急性发作期的护理方法与效果，现将其详细医学报道如下。
1 资料与方法
1.1 一般资料
该案研究对象134例，均为在该院接受治疗的糖尿病支气管哮喘患儿，所有患儿均经临床确诊，与WHO所制定糖尿病相关诊断标准与中华医学会儿科分会呼吸学组所制定的儿童支气管哮喘相关诊断标准相符，临床存在胸闷、呼吸困难、喘息、胸部哮鸣音等症状。排除严重心功能不全、患有心绞痛、心肌梗塞等患儿。依护理方法不同将患儿分为对照组和研究组，每组患儿67例。对照组男性患儿40例，女性患儿27例;年龄段在1.5～12岁之间，平均年龄为(6.02±2.35)岁;哮喘发作情况：轻度12例，中度41例，重度14例;治疗情况：行规范化吸入治疗16例，行间断吸入治疗24例，其余未行吸入治疗。研究组男性患儿39例，女性患儿28例;年龄段在1～12岁之间，平均年龄为(5.98±2.37)岁;哮喘发作情况：轻度10例，中度42例，重度15例;治疗情况：行规范化吸入治疗15例，行间断吸入治疗25例，其余未行吸入治疗。两组患儿基线资料比较差异无统计学意义(P>0.05)，可进行比较。, http://www.100md.com(张忠美 史秀芳)