老年乙型肝炎合并2型糖尿病患者的护理体会.docVIP

精品论文 参考文献 老年乙型肝炎合并2型糖尿病患者的护理体会 （江苏徐州医学院附属第三医院 江苏 徐州 221003） 　　【摘要】 目的：探讨有效提高老年乙型肝炎合并2型糖尿病患者的护理方法,提高其生活质量。乙型病毒性肝炎可造成肝细胞损伤，使得糖代谢发生障碍在部分老年患者中可导致高血糖或低血糖，当合并2型糖尿病后，可使病情加重，使老年患者的治疗变得更为棘手。方法：我科自2010年１月～2013年１月，共收治老年乙型肝炎合并2型糖尿病患者40例，通过对患者的综合分析，做好相关护理，健康教育、饮食和心理护理等。结果：本组40例老年乙型肝炎合并2型糖尿病患者，经保肝、正确使用胰岛素、口服降糖药物和糖尿病饮食治疗及精心护理后，乙肝症状减轻，肝功能恢复正常，同时血糖控制较好，病情缓解趋于稳定而出院。无并发症发生。结论：使患者掌握了相关知识，学会自我管理，提高了生活质量。 　　【关键词】 老年；乙型肝炎；2型糖尿病；护理体会 　　【中图分类号】R473.5 【文献标识码】A 【文章编号】2095-1752（2016）30-0015-02 　　Nursing experience of elderly patients with hepatitis B complicated with type 2 diabetes mellitus 　　Li Tao. The Third Affiliated Hospital of Xuzhou Medical College, Jiangsu Province, Xuzhou 221003, China 　　【Abstract】Objective To improve the quality of life of elderly patients with hepatitis B complicated with type 2 diabetes mellitus. Hepatitis B virus can cause liver cell damage, which makes the sugar metabolism disorders in part of the elderly patients can cause hyperglycemia or hypoglycemia, when type II diabetes mellitus, make an illness aggravating, the treatment of elderly patients with more difficult. Methods From January 2010 to January 2013, a total of 40 cases were senile hepatitis hepatitis with type II diabetic patients by comprehensive analysis of patients, relative nursing, health education, diet and psychological nursing. Results In this group of 40 cases senile hepatitis hepatitis patients with type II diabetes, hepatoprotective, proper use of insulin and oral hypoglycemic drugs and diet therapy of diabetes mellitus and careful nursing, alleviate the symptoms of chronic hepatitis B, liver function is normal, and better control of blood glucose, remission tended to be stable and discharged from hospital. No complication occurred. Conclusion The patients master therelated knowledge, self management, improve the quality of life. 　　【Key words】Elderly; Hepatitis B; Type 2 diabetes mellitus; Nursin 　　病毒性肝炎（肝炎）是以弥漫性肝脏病变为主的全身性疾病。我国大多数人曾经或正在感染其中一种或多种肝炎病毒。